Organization
PROVO SPORTS AND FAMILY CHIROPRACTIC, INC.
Active
Organization
PROVO SPORTS AND FAMILY CHIROPRACTIC, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC J BRADY D.C. (CHIROPRACTOR)
(801) 375-2420
Entity
Organization
Contact information
Practice address
777 N 500 W STE 205, PROVO, UT 84601-1596
(801) 375-2420
(801) 374-8588
Mailing address
777 N 500 W STE 205, PROVO, UT 84601-1596
(801) 375-2420
(801) 374-8588
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
355063-1202
UT
Other
Enumeration date
03/26/2008
Last updated
03/28/2008
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