Organization
CREEKSIDE CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERIC RANDALL BROWN D.C. (DOCTOR OF CHIROPRACTIC)
(801) 256-6675
Entity
Organization
Contact information
Practice address
1200 E 3300 S, SALT LAKE CITY, UT 84106-2522
(801) 256-6675
Mailing address
PO BOX 522102, SALT LAKE CITY, UT 84152-2102
(801) 256-6675
(801) 990-0503
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8014253-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8014253-1202
CHIROPRACTIC LIC FOR UTAH
UT
Enumeration date
01/18/2012
Last updated
09/24/2014
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