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Organization
BIOMECHANICS INSTITUTE PLLC
Active
Organization
BIOMECHANICS INSTITUTE PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DARLISS GASKINS (CREDENTIALING MANAGER)
(740) 629-8277
Entity
Organization
Contact information
Practice address
8822 S REDWOOD RD, SUITE C211, WEST JORDAN, UT 84088-9336
(801) 563-1975
Mailing address
PO BOX 1264, RIVERTON, UT 84065-1264
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
5876265-0501
UT
Other
Enumeration date
10/12/2011
Last updated
11/15/2011
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