Individual
PATRICK SELLERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC, LAC
Contact information
Practice address
203 E 860 S, OREM, UT 84058-5014
(801) 225-5522
Mailing address
203 E 860 S, OREM, UT 84058-5014
(801) 225-5522
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIA-461
ID
Other
Enumeration date
05/18/2020
Last updated
05/18/2020
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