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Organization
SPORTS CHIROPRACTIC AND WELLNESS CENTER PC
Active
Organization
SPORTS CHIROPRACTIC AND WELLNESS CENTER PC
Active
Other names
Optimal Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE C NIELSON DC (OWNER)
(801) 568-1598
Entity
Organization
Contact information
Practice address
193 E FORT UNION BLVD, 203, MIDVALE, UT 84047-5660
(801) 568-1598
(801) 568-1594
Mailing address
193 E FORT UNION BLVD, 203, MIDVALE, UT 84047-5660
(801) 568-1598
(801) 568-1594
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
365045-1202
UT
Other
Enumeration date
12/01/2010
Last updated
06/01/2016
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