| Dirk S Woodmansee Dc Pc | |
|
2618 W 7800 S Ste 200, West Jordan, UT 84088-4213 | |
| (801) 562-1531 | |
| (801) 562-1534 |
| Full Name | Dirk S Woodmansee Dc Pc |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 2618 W 7800 S Ste 200, West Jordan, Utah |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013052380 | NPI | - | NPPES |
| 973507121202 | Other | UT | UTAH STATE LIC. |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 973507121202 (Utah) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Dirk S Woodmansee Dc Pc 2618 W 7800 S Ste 200, West Jordan, UT 84088-4213 Ph: (801) 562-1531 | Dirk S Woodmansee Dc Pc 2618 W 7800 S Ste 200, West Jordan, UT 84088-4213 Ph: (801) 562-1531 |
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