Valley Chiropractic & Wellness Llc | |
663 N. Main St., Spanish Fork, UT 84660-1144 | |
(801) 894-9633 | |
(801) 386-5634 |
Full Name | Valley Chiropractic & Wellness Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 663 N. Main St., Spanish Fork, Utah |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255768438 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 8530109-1202 (Utah) | Primary |
Provider Name | Adam R. Idsinga |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1841589660 PECOS PAC ID: 9638501729 Enrollment ID: I20200316002747 |
Mailing Address | Practice Location Address |
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Valley Chiropractic & Wellness Llc 663 N. Main St., Spanish Fork, UT 84660-1144 Ph: (801) 894-9633 | Valley Chiropractic & Wellness Llc 663 N. Main St., Spanish Fork, UT 84660-1144 Ph: (801) 894-9633 |
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