Organization
ROCKY MOUNTAIN SPINE & INJURY CHIROPRACTIC, P.L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IAN SEQUOIA EARLE D.C. (OWNER)
(425) 249-6497
Entity
Organization
Contact information
Practice address
5640 WASATCH DR, SUITE E, SOUTH OGDEN, UT 84403-4902
(801) 388-3640
Mailing address
5640 WASATCH DR, SUITE E, SOUTH OGDEN, UT 84403-4902
(801) 388-3640
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10224169-1202
UT
Other
Enumeration date
04/06/2017
Last updated
04/17/2017
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