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Organization

NECK AND BACK INJURY CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
STACEY EWELL (OWNER)
(801) 253-7734
Entity
Organization

Contact information

Practice address
2964 W 4700 S STE 102, SALT LAKE CITY, UT 84129-2558
(801) 966-9100
Mailing address
2964 W 4700 S STE 102, SALT LAKE CITY, UT 84129-2558

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
UT

Other

Enumeration date
03/14/2012
Last updated
03/14/2012
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