Organization
GONSTEAD CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SPENCER D CHENEY D.C. (MANAGER/MEMBER)
(801) 425-2065
Entity
Organization
Contact information
Practice address
1154 S 300 W, SUITE C, SALT LAKE CITY, UT 84101-3053
(801) 425-2065
Mailing address
1154 S 300 W, SUITE C, SALT LAKE CITY, UT 84101-3053
(801) 425-2065
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5309691-1202
UT
Other
Enumeration date
06/18/2015
Last updated
04/07/2016
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