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Organization
ADVANTAGE MEDICAL CENTER LLC
Active
Organization
ADVANTAGE MEDICAL CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEREMIAH HOOPES DC (CHIROPRACTOR)
(435) 723-0517
Entity
Organization
Contact information
Practice address
770 S 200 E, STE 102, BRIGHAM CITY, UT 84302
(435) 723-0517
(435) 723-0587
Mailing address
770 S 200 E, STE 102, BRIGHAM CITY, UT 84302
(435) 723-0517
(435) 723-0587
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
5118842-0160
UT
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
363L00000X
Nurse Practitioner
189510-4405
UT
Other
Enumeration date
10/07/2016
Last updated
12/01/2016
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