Organization
ACTIVE ADVANTAGE CHIROPRACTIC AND SPORTS MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES GARRETT EAGAR D.C., ATC (OWNER)
(801) 874-5437
Entity
Organization
Contact information
Practice address
510 E 770 N, OREM, UT 84097-4101
(801) 607-1636
Mailing address
616 N 940 W, OREM, UT 84057-3652
(801) 874-5437
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
2012-27753
UT
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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