NPI 1326024977

Derrick Lee Stanbridge, DC

Practitioner Chiropractor South Ogden, UT

Practice location

Address: 5974 Fashion Point Dr Suite 110, South Ogden, UT 84403-4699
Phone: (801) 475-6800
Fax: (801) 475-6802

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 48041471202 (UT)

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Registry record

NPI: 1326024977
Entity type: Individual
Sex (as registered): Male
NPI issued: 15 Dec 2005
Record last updated: 16 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.