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Individual

DR. DAN EGBERT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
1273 W 12600 S STE 401, RIVERTON, UT 84065-7111
(801) 446-0383
(801) 446-0391
Mailing address
1273 W 12600 S STE 401, P.O. BOX 949, RIVERTON, UT 84065-7111
(801) 446-0383
(801) 446-0391

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
292680-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
870395551005
UT
Enumeration date
07/12/2006
Last updated
07/08/2007
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