Organization
CANADA CHIROPRACTIC A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA D CANADA DC (OWNER)
(801) 913-5178
Entity
Organization
Contact information
Practice address
5801 S FASHION BLVD, SUITE 175, MURRAY, UT 84107-6159
(385) 202-3444
Mailing address
5801 S FASHION BLVD, SUITE 175, MURRAY, UT 84107-6159
(385) 202-3444
Taxonomy
Speciality
Code
Description
License number
State
305S00000X
Point of Service
Primary
287808-1202
UT
Other
Enumeration date
12/04/2012
Last updated
12/04/2012
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