Organization
SPINAL CARE MANAGEMENT, INC.
Active
Other names
Maple Ridge Spinal Pain Center--Salt Lake
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DIANNE WYGANT (OWNER)
(801) 301-0351
Entity
Organization
Contact information
Practice address
505 E 200 S, SUITE 425, SALT LAKE CITY, UT 84102-2022
(801) 363-0060
Mailing address
505 E 200 S, SUITE 425, SALT LAKE CITY, UT 84102-2022
(801) 363-0060
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
03/07/2007
Last updated
10/16/2007
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