Dr Larry Robert Vance, DC | |
4646 Highland Dr, St 101, Salt Lake City, UT 84117-5135 | |
(801) 277-5665 | |
(801) 277-5666 |
Full Name | Dr Larry Robert Vance |
---|---|
Gender | Male |
Speciality | Chiropractic |
Experience | 26 Years |
Location | 4646 Highland Dr, Salt Lake City, Utah |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1053444836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 363734-1202 (Utah) | Primary |
Provider Name | Highland Chiropractic Clinic Inc |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1821266784 PECOS PAC ID: 1658303631 Enrollment ID: O20050910000186 |
Mailing Address | Practice Location Address |
---|---|
Dr Larry Robert Vance, DC 4646 Highland Dr, St 101, Salt Lake City, UT 84117-5135 Ph: (801) 277-5665 | Dr Larry Robert Vance, DC 4646 Highland Dr, St 101, Salt Lake City, UT 84117-5135 Ph: (801) 277-5665 |
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