Organization
ROCKY MOUNTAIN CLINIC OF CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PATRICK K. MICKELSEN D.O. (OWNER)
(801) 782-2947
Entity
Organization
Contact information
Practice address
2240 N HWY 89 STE D, HARRISVILLE, UT 84404-2824
(801) 782-2947
Mailing address
2240 N HWY 89 STE D, HARRISVILLE, UT 84404-2824
(801) 782-2947
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6099655-1202
UT
Other
Enumeration date
06/02/2006
Last updated
10/27/2015
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