South Towne Chiropractic Pc | |
8915 S 700 E, Ste 201, Sandy, UT 84070-2417 | |
(801) 523-6327 | |
Not Available |
Full Name | South Towne Chiropractic Pc |
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Type | Facility |
Speciality | Chiropractor |
Location | 8915 S 700 E, Sandy, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1023294253 | NPI | - | NPPES |
51019 | Other | UT | PEHP |
633116 | Other | UT | DESERET MUTUAL |
107001530102 | Other | UT | SELECT HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 176342-1202 (Utah) | Primary |
Provider Name | Rodney R Scuderi |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1548271950 PECOS PAC ID: 1759462146 Enrollment ID: I20080110000702 |
Mailing Address | Practice Location Address |
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South Towne Chiropractic Pc 8915 S 700 E, Ste 201, Sandy, UT 84070-2417 Ph: (801) 523-6327 | South Towne Chiropractic Pc 8915 S 700 E, Ste 201, Sandy, UT 84070-2417 Ph: (801) 523-6327 |
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