NPI 1093188179

Justin Stevenson, DC

Practitioner Chiropractor South Ogden, UT

Practice location

Address: 6033 Fashion Point Dr, South Ogden, UT 84403-4847
Phone: (801) 475-6800

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 7126950-1202 (UT)

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Registry record

NPI: 1093188179
Entity type: Individual
Sex (as registered): Male
NPI issued: 11 Nov 2015
Record last updated: 11 Nov 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.