Organization
PARK CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERRY E PARK DC (CHIROPRACTIC PHYSICIAN)
(801) 292-2299
Entity
Organization
Contact information
Practice address
224 S MAIN ST STE 1, CENTERVILLE, UT 84014-2206
(801) 292-2299
(801) 295-5835
Mailing address
224 S MAIN ST STE 1, CENTERVILLE, UT 84014-2206
(801) 292-2299
(801) 295-5835
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
174995-1202
UT
Other
Enumeration date
06/13/2017
Last updated
07/21/2022
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