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Organization
JOINT AND SPINE CARE CENTER OF UTAH
Active
Organization
JOINT AND SPINE CARE CENTER OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK STANBRIDGE DC (OWNER)
(801) 458-0152
Entity
Organization
Contact information
Practice address
2195 W 5400 S, STE 105, TAYLORSVILLE, UT 84129-1431
(801) 964-2400
Mailing address
2195 W 5400 S, STE 105, TAYLORSVILLE, UT 84129-1431
(801) 964-2400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
48011471202
UT
Other
Enumeration date
09/17/2015
Last updated
09/21/2015
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