Individual
DALE BUEHNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
715 E 3900 S STE 109, SALT LAKE CITY, UT 84107-2564
(801) 288-1771
Mailing address
715 E 3900 S STE 109, SALT LAKE CITY, UT 84107-2564
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1753591202
UT
Other
Enumeration date
10/11/2006
Last updated
07/08/2007
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