Individual
RANDALL THOMAS ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1240 E HIGHWAY 193, SUITE G8, LAYTON, UT 84040-8544
(801) 771-2200
(801) 771-2201
Mailing address
1240 E HIGHWAY 193, SUITE G8, LAYTON, UT 84040-8544
(801) 771-2200
(801) 771-2201
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
165944-1202
UT
Other
Enumeration date
10/10/2006
Last updated
01/09/2008
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