| Alpine Spinal Rehabilitation Ctr | |
|
3325 N University Ave Ste 125, Provo, UT 84604-6615 | |
| (801) 374-2774 | |
| (801) 374-2775 |
| Full Name | Alpine Spinal Rehabilitation Ctr |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3325 N University Ave Ste 125, Provo, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578731949 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 166844-1202 (Utah) | Primary |
| Provider Name | Jerry S Clark |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1114082872 PECOS PAC ID: 7113186586 Enrollment ID: I20120306000098 |
| Mailing Address | Practice Location Address |
|---|---|
| Alpine Spinal Rehabilitation Ctr 3325 N University Ave Ste 125, Provo, UT 84604-6615 Ph: (801) 374-2774 | Alpine Spinal Rehabilitation Ctr 3325 N University Ave Ste 125, Provo, UT 84604-6615 Ph: (801) 374-2774 |
Provo Sports And Family Chiropractic, Inc. Chiropractor Medicare: Medicare Enrolled Practice Location: 777 N 500 W Ste 205, Provo, UT 84601 Phone: 801-375-2420 Fax: 801-374-8588 | |
Dr. Jeremiah Isaac Hernandez, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N. University Pkwy, Bldg 5, Ste A, Provo, UT 84604 Phone: 801-210-0669 | |
Dr. Gordon Mcclean, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 385 N 500 W, Provo, UT 84601 Phone: 801-373-1035 | |
Joshua James Redd, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N University Pkwy, 6b, Provo, UT 84604 Phone: 801-235-9944 | |
Nucca Spinal Centers Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 696 N 1890 W, Suite 43-a, Provo, UT 84601 Phone: 801-655-1801 Fax: 801-655-1803 | |
Jerry S Clark, D.C. Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 3325 N University Ave Ste 125, Provo, UT 84604 Phone: 801-374-2774 Fax: 801-374-2775 | |
Performance Sport & Spine Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2230 N University Pkwy Ste 6b, Provo, UT 84604 Phone: 801-235-9944 |