Integrity Chiropractic | |
565 W 465 N, Suite 140, Providence, UT 84332-4801 | |
(433) 213-9645 | |
Not Available |
Full Name | Integrity Chiropractic |
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Type | Facility |
Speciality | Chiropractor |
Location | 565 W 465 N, Providence, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1326487687 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 8449495-1202 (Utah) | Primary |
Provider Name | Spencer W Wade |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1902108483 PECOS PAC ID: 8527257039 Enrollment ID: I20130920000149 |
Mailing Address | Practice Location Address |
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Integrity Chiropractic 565 W 465 N, Suite 140, Providence, UT 84332-4801 Ph: (433) 213-9645 | Integrity Chiropractic 565 W 465 N, Suite 140, Providence, UT 84332-4801 Ph: (433) 213-9645 |
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