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Organization
SOUTH OGDEN CHIROPRACTIC HEALTH
Active
Organization
SOUTH OGDEN CHIROPRACTIC HEALTH
Active
Other names
Skyline Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNIFER BUNN (SECRATARY)
(801) 675-5600
Entity
Organization
Contact information
Practice address
2454 MONROE BLVD, OGDEN, UT 84401-2506
(801) 675-5600
(801) 605-3715
Mailing address
2454 MONROE BLVD, OGDEN, UT 84401-2506
(801) 675-5600
(801) 605-3715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
287585-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107012083102
SELECT HEALTH IHC
UT
01
—
197164
ALTIUS
UT
01
—
2238351
UNITED HEALTH CARE
UT
01
—
28758512000001
TADITIONAL BCBS
UT
01
—
28758512077001
NONTRAD BCBS
UT
05
—
505063944001
—
UT
Enumeration date
11/29/2006
Last updated
12/31/2012
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