David Todd Hakanson Sr, DC | |
4444 S 700 E Ste 102, Millcreek, UT 84107-3075 | |
(636) 432-8771 | |
Not Available |
Full Name | David Todd Hakanson Sr |
---|---|
Gender | Male |
Speciality | Chiropractor |
Location | 4444 S 700 E Ste 102, Millcreek, Utah |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1477071686 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 2017031983 (Missouri) | Secondary |
111N00000X | Chiropractor | 10768566-1202 (Utah) | Primary |
Mailing Address | Practice Location Address |
---|---|
David Todd Hakanson Sr, DC 5401 W Ranches Loop Rd, West Jordan, UT 84081-8400 Ph: (636) 432-8771 | David Todd Hakanson Sr, DC 4444 S 700 E Ste 102, Millcreek, UT 84107-3075 Ph: (636) 432-8771 |
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