Organization
HAYES CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDALL WILLIAM HAYES DC (PRESIDENT)
(801) 763-5991
Entity
Organization
Contact information
Practice address
12 RED PINE DR, ALPINE, UT 84004-1557
(801) 763-5991
Mailing address
12 RED PINE DR, ALPINE, UT 84004-1557
(801) 763-5991
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3758161202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
528794472001
—
UT
Enumeration date
08/22/2006
Last updated
09/09/2011
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