Organization
CANYON CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID GORDON PIERCE D.C. (PRESIDENT/CHIROPRACTOR)
(801) 763-8662
Entity
Organization
Contact information
Practice address
5337 W 11000 N, HIGHLAND, UT 84003
(801) 763-8662
(801) 763-8664
Mailing address
5337 W 11000 N, HIGHLAND, UT 84003
(801) 763-8662
(801) 763-8664
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
931759851201
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000056085
MEDICARE ID- TYPE UNSPECIFIED
UT
Enumeration date
03/26/2015
Last updated
03/26/2015
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