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Individual

CHRISTOPHER JOHN BUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1496 E 5600 S STE 5, SOUTH OGDEN, UT 84403-4823
(016) 892-5928
Mailing address
1496 E 5600 S STE 5, SOUTH OGDEN, UT 84403-4823
(801) 689-2592

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
287585-1202
UT
111N00000X
Chiropractor
CHIRO08351
GA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
107012083102
SELECT HEALTH
UT
01
197164
ALTIUS ID #
UT
01
2238351
UNITED HEALTH CARE
UT
01
28758512000001
TRAD BCBS ID #
UT
01
28758512077001
NON-TRAD BCBS #
UT
Enumeration date
08/25/2006
Last updated
01/23/2024
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