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Organization
PRECISION CHIROPRACTIC & WELLNESS PLLC
Active
Organization
PRECISION CHIROPRACTIC & WELLNESS PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TYSON BRADFORD D.C. (DOCTOR)
(801) 737-1033
Entity
Organization
Contact information
Practice address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 737-1033
Mailing address
859 WASHINGTON BLVD STE 1, OGDEN, UT 84404-4972
(801) 737-1033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
U000072911
MEDICARE PTAN
UT
Enumeration date
01/12/2012
Last updated
12/13/2016
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