Organization
SIMPLY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEVEN M POULOS D.C. (OWNER/OPERATOR)
(435) 868-8202
Entity
Organization
Contact information
Practice address
2113 N MAIN ST, SUITE 4, CEDAR CITY, UT 84721-7763
(435) 868-8202
(435) 865-1500
Mailing address
2113 N MAIN ST, SUITE 4, CEDAR CITY, UT 84721-7763
(435) 868-8202
(435) 865-1500
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8572868-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1366783847
PERSOANAL NPI
—
Enumeration date
08/21/2013
Last updated
08/21/2013
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