Utah Spinal Rehabilitaion, Pllc | |
1225 Fort Union Blvd Suite 120 Cottonwood Heights UT 84047-1889 | |
(801) 563-1116 | |
(801) 563-1117 |
Full Name | Utah Spinal Rehabilitaion, Pllc |
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Speciality | Clinic/center |
Location | 1225 Fort Union Blvd, Cottonwood Heights, Utah |
Authorized Official Name and Position | Kevin Mcdougal (OWNER) |
Authorized Official Contact | 8015631116 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Utah Spinal Rehabilitaion, Pllc 1225 Fort Union Blvd Suite 120 Cottonwood Heights UT 84047-1889 Ph: (801) 563-1116 | Utah Spinal Rehabilitaion, Pllc 1225 Fort Union Blvd Suite 120 Cottonwood Heights UT 84047-1889 Ph: (801) 563-1116 |
NPI Number | 1417192436 |
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Provider Enumeration Date | 12/04/2008 |
Last Update Date | 12/04/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417192436 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261Q00000X | Clinic/center | (* (Not Available)) | Primary |
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