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Individual

RYAN E. EVERHART

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
151 N STATE ST, MORGAN, UT 84050-9919
(801) 845-8156
Mailing address
PO BOX 135, MORGAN, UT 84050-0135
(801) 845-8156

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
7443715-1202
UT
111N00000X
Chiropractor
Primary
X011203
NY

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
C11203-9B
WORKERS COMPENSATION
NY
Enumeration date
05/20/2006
Last updated
03/14/2011
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