Individual
ERIC J BERUBE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
10456 S REDWOOD RD, SOUTH JORDAN, UT 84095-8501
(801) 446-5100
Mailing address
4817 W FISH HOOK RD, SOUTH JORDAN, UT 84009-4778
(801) 815-4494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2929111202
UT
Other
Enumeration date
12/13/2006
Last updated
07/31/2017
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