Individual
DR. CHAD A LUNDSTROM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1790 SUN PEAK DR, STE. A-201, PARK CITY, UT 84098-6559
(435) 649-4424
(435) 649-3278
Mailing address
6244 VIEW DR, PARK CITY, UT 84098-6156
(435) 615-6684
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
313921-1202
UT
Other
Enumeration date
10/10/2006
Last updated
01/19/2012
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