Sierra Chiropractic, Pllc | |
169 N Gateway Dr Ste 223, Providence, UT 84332-9856 | |
(573) 275-5736 | |
Not Available |
Full Name | Sierra Chiropractic, Pllc |
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Type | Facility |
Speciality | Chiropractor |
Location | 169 N Gateway Dr Ste 223, 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 |
---|---|---|---|
1689322992 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Sierra Trinity Ladnier |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1225789738 PECOS PAC ID: 0648662460 Enrollment ID: I20220127001771 |
Mailing Address | Practice Location Address |
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Sierra Chiropractic, Pllc 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 Ph: (573) 275-5736 | Sierra Chiropractic, Pllc 169 N Gateway Dr Ste 223, Providence, UT 84332-9856 Ph: (573) 275-5736 |
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