Individual
DR. JAMES LAWRENCE MISUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1415 N 400 E STE A, LOGAN, UT 84341-7539
(435) 753-2840
(435) 787-9422
Mailing address
1415 N 400 E STE A, LOGAN, UT 84341-7539
(435) 753-2840
(435) 787-9422
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
320260-1202
UT
Other
Enumeration date
01/03/2007
Last updated
07/08/2007
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