# ADVANTAGE MEDICAL CENTER LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053861567
- **Authorized official:** JEREMIAH HOOPES DC (CHIROPRACTOR)
- **Authorized official phone:** (435) 723-0517

## Contact information

- **Practice address:** 770 S 200 E, STE 102, BRIGHAM CITY, UT 84302
- **Practice address phone:** (435) 723-0517
- **Practice address fax:** (435) 723-0587
- **Mailing address:** 770 S 200 E, STE 102, BRIGHAM CITY, UT 84302
- **Mailing address phone:** (435) 723-0517
- **Mailing address fax:** (435) 723-0587

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | 5118842-0160 | UT | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 363L00000X | Nurse Practitioner | 189510-4405 | UT | — |

## Other

- **Enumeration date:** 10/07/2016
- **Last updated:** 12/01/2016