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Organization
ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE
Active
Organization
ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GARRETT EAGAR D.C., ATC (OWNER)
(801) 874-5437
Entity
Organization
Contact information
Practice address
510 E 770 N, OREM, UT 84097-4101
(801) 607-1636
Mailing address
616 N 940 W, OREM, UT 84057-3652
(801) 874-5437
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2012-27753
UT
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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