Organization
AXON INJURY CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANNELYN SANCHEZ (OWNER)
(385) 429-0785
Entity
Organization
Contact information
Practice address
1681 W 3860 S STE 106B, WEST VALLEY CITY, UT 84119-6274
(801) 347-5374
Mailing address
1681 W 3860 S STE 106B, WEST VALLEY CITY, UT 84119-6274
(385) 429-0785
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1477133288
PA-C
UT
Enumeration date
05/03/2023
Last updated
06/02/2023
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