Organization
ALTA MOUNTAIN HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NATHAN TYLER ELDREDGE D.C. (PRESIDENT)
(801) 569-8787
Entity
Organization
Contact information
Practice address
9035 S 1300 E, SUITE 1B, SANDY, UT 84094-3132
(801) 569-8787
Mailing address
4692 RAINBOW DR, MURRAY, UT 84107-3810
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5501297-1202
UT
Other
Enumeration date
10/04/2011
Last updated
10/04/2011
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