Organization
HEALTH ELEVATED, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSHUA N FIDLER D.C. (DOCTOR OF CHIROPRACTIC)
(435) 915-6032
Entity
Organization
Contact information
Practice address
675 S MAIN ST, BRIGHAM CITY, UT 84302-3246
(435) 915-6032
Mailing address
675 S MAIN ST, BRIGHAM CITY, UT 84302-3246
(435) 915-6032
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9452589-1202
UT
111NR0400X
Rehabilitation Chiropractor
9452589-1202
UT
111NS0005X
Sports Physician Chiropractor
9452589-1202
UT
Other
Enumeration date
07/20/2015
Last updated
07/20/2015
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