| Holladay Physical Medicine | |
|
4211 Holladay Blvd, Holladay, UT 84124-2607 | |
| (801) 272-8471 | |
| Not Available |
| Full Name | Holladay Physical Medicine |
|---|---|
| Type | Facility |
| Speciality | Chiropractor - Orthopedic |
| Location | 4211 Holladay Blvd, Holladay, Utah |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487928222 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111NX0800X | Chiropractor - Orthopedic | 161820-1202 (Utah) | Primary |
| Provider Name | Bruce Van Gundersen |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1952409476 PECOS PAC ID: 2769641729 Enrollment ID: I20120309000675 |
| Mailing Address | Practice Location Address |
|---|---|
| Holladay Physical Medicine 4211 Holladay Blvd, Holladay, UT 84124-2607 Ph: (801) 272-8471 | Holladay Physical Medicine 4211 Holladay Blvd, Holladay, UT 84124-2607 Ph: (801) 272-8471 |
Mr. Jeffrey Todd Owens, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2040 Murray Holladay Rd, Suite 206, Holladay, UT 84117 Phone: 801-277-7120 Fax: 801-277-7146 | |
Dr. Jedidiah Richard Farley, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2040 E Murray Holladay Rd, Suite 102 A, Holladay, UT 84117 Phone: 801-372-5864 Fax: 385-695-5984 | |
Capstone Chiropractic Llc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2200 E 4500 S, Ste 110, Holladay, UT 84117 Phone: 801-272-8500 Fax: 801-272-3562 | |
Dr. John A Anderson, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 6069 Highland Dr, Holladay, UT 84121 Phone: 801-278-7444 Fax: 801-272-6920 | |
Ryan James Rowell, D.C. Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 2200 E 4500 S Ste 110, Holladay, UT 84117 Phone: 801-272-8500 | |
The Works Chiropractor Medicare: Medicare Enrolled Practice Location: 1961 E Murray Holladay Rd, Holladay, UT 84117 Phone: 801-273-7777 |