Organization
DIRK S WOODMANSEE DC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIRK S. WOODMANSEE DC (OWNER PRESIDENT)
(801) 562-1531
Entity
Organization
Contact information
Practice address
2618 W 7800 S STE 200, WEST JORDAN, UT 84088-4213
(801) 562-1531
(801) 562-1534
Mailing address
2618 W 7800 S STE 200, WEST JORDAN, UT 84088-4213
(801) 562-1531
(801) 562-1534
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
973507121202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
973507121202
UTAH STATE LIC.
UT
Enumeration date
02/21/2007
Last updated
08/22/2020
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