| Dc Corgiat Llc | |
|
1916 N 700 W Ste 190 Layton UT 84041-5726 | |
| (801) 820-6169 | |
| Not Available |
| Full Name | Dc Corgiat Llc |
|---|---|
| Speciality | Counselor |
| Location | 1916 N 700 W Ste 190, Layton, Utah |
| Authorized Official Name and Position | Damon Corgiat (SOLE OWNER) |
| Authorized Official Contact | 8018087435 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dc Corgiat Llc 1916 N 700 W Ste 190 Layton UT 84041-5726 Ph: (801) 820-6169 | Dc Corgiat Llc 1916 N 700 W Ste 190 Layton UT 84041-5726 Ph: (801) 820-6169 |
| NPI Number | 1083093702 |
|---|---|
| Provider Enumeration Date | 05/27/2015 |
| Last Update Date | 05/27/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083093702 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 9133595-6010 (Utah) | Primary |
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