| Gonstead Chiropractic | |
|
1154 S 300 W Suite C Salt Lake City UT 84101-3053 | |
| (801) 425-2065 | |
| Not Available |
| Full Name | Gonstead Chiropractic |
|---|---|
| Speciality | Clinic/center |
| Location | 1154 S 300 W, Salt Lake City, Utah |
| Authorized Official Name and Position | Spencer D Cheney (MANAGER/MEMBER) |
| Authorized Official Contact | 8014252065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Gonstead Chiropractic 1154 S 300 W Suite C Salt Lake City UT 84101-3053 Ph: (801) 425-2065 | Gonstead Chiropractic 1154 S 300 W Suite C Salt Lake City UT 84101-3053 Ph: (801) 425-2065 |
| NPI Number | 1285016972 |
|---|---|
| Provider Enumeration Date | 06/18/2015 |
| Last Update Date | 04/07/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285016972 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 5309691-1202 (Utah) | Primary |
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