Organization
ELITE HEALTHCARE SOUTHERN UTAH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY HICKEN DC (CLINIC DIRECTOR)
(435) 627-0231
Entity
Organization
Contact information
Practice address
1490 E FOREMASTER DR STE 260, ST GEORGE, UT 84790-4502
(435) 627-0231
(435) 523-3376
Mailing address
3275 E HIDDEN SPRINGS DR, WASHINGTON, UT 84780-1983
(435) 627-0231
(435) 627-0781
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10353222-1202
UT
Other
Enumeration date
11/02/2017
Last updated
05/26/2022
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