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Organization
SOUTH TOWNE CHIROPRACTIC PC
Active
Organization
SOUTH TOWNE CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY RAYMOND SCUDERI D.C. (OWNER/CHIROPRACTOR)
(801) 523-6327
Entity
Organization
Contact information
Practice address
8915 S 700 E, STE 201, SANDY, UT 84070-2417
(801) 523-6327
Mailing address
8915 S 700 E, STE 201, SANDY, UT 84070-2417
(801) 523-6327
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176342-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001530102
SELECT HEALTH
UT
01
—
51019
PEHP
UT
01
—
633116
DESERET MUTUAL
UT
Enumeration date
01/17/2008
Last updated
04/20/2008
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