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Organization

SCOVILLE CHIROPRACTIC CLINIC LLP

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RODGER LORIN SCOVILLE D.C. (PARTNER)
(435) 864-5121
Entity
Organization

Contact information

Practice address
58 E MAIN ST, SUITE 1, DELTA, UT 84624-9500
(435) 864-5121
Mailing address
58 E MAIN ST, SUITE 1, DELTA, UT 84624-9500
(435) 864-5121

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
167713-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
D1882
UT
Enumeration date
02/12/2008
Last updated
02/12/2008
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