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Individual

DR. DAN G GEORGE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
395 N 200 W, BOUNTIFUL, UT 84010-7045
(801) 295-6667
(801) 295-6664
Mailing address
395 N 200 W, BOUNTIFUL, UT 84010-7045
(801) 295-6667
(801) 295-6664

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176187-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107000652101
IHC
UT
01
28528
PEHP
UT
Enumeration date
04/26/2006
Last updated
02/10/2011
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