Organization
ADVANCED TECHNOLOGY SPINAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT E PARK D.C. (CEO)
(801) 298-7330
Entity
Organization
Contact information
Practice address
174 W PARRISH LN, CENTERVILLE, UT 84014
(801) 298-7330
(801) 295-5434
Mailing address
174 W PARRISH LN, CENTERVILLE, UT 84014
(801) 298-7330
(801) 295-5434
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176374-1202
UT
Other
Enumeration date
12/08/2006
Last updated
08/22/2020
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