NPI 1104018696

Leon Andre Erasmus, DC

Practitioner Rehabilitation Chiropractor Murray, UT

Practice location

Address: 166 E 5900 S Suite 107, Murray, UT 84107-7257
Phone: (801) 313-0111
Fax: (801) 313-0116

Registered specialties

Rehabilitation Chiropractor Primary

Chiropractic Providers Taxonomy 111NR0400X Licence 3301861202 (UT)

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Registry record

NPI: 1104018696
Entity type: Individual
Sex (as registered): Male
NPI issued: 17 Aug 2007
Record last updated: 17 Aug 2007

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.