Individual
DR. GORDON RANDAL WHETTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
859 WASHINGTON BLVD, SUITE 1, OGDEN, UT 84404-4962
(801) 393-8880
(801) 393-8881
Mailing address
859 WASHINGTON BLVD, SUITE 1, OGDEN, UT 84404-4962
(801) 393-8880
(801) 393-8881
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176413-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
113
GE WELLNESS
UT
01
—
247
UNITED HEALTH CARE
UT
01
—
93176413104001
REGENCE BLUE CROSS
UT
05
—
D5226
—
UT
Enumeration date
04/26/2006
Last updated
07/09/2007
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