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Individual

DR. ROBERT E PARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
174 W PARRISH LN, CENTERVILLE, UT 84014-1821
(801) 706-4353
(801) 295-5434
Mailing address
174 W PARRISH LN, CENTERVILLE, UT 84014-1821
(801) 706-4353
(801) 295-5434

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176374-1202
UT

Other

Enumeration date
02/07/2007
Last updated
11/12/2007
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