Organization
TOTALCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARIANO REGINATO (PRESIDENT)
(801) 822-5644
Entity
Organization
Contact information
Practice address
1700 N STATE ST STE 16, PROVO, UT 84604-1008
(801) 822-5644
Mailing address
1700 N STATE ST STE 16, PROVO, UT 84604-1008
(801) 822-5644
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
05/02/2017
Last updated
05/02/2017
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