Organization
GREAT BASIN CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK BRADLEY RESETARITS D.C. (PRESIDENT)
(801) 363-8899
Entity
Organization
Contact information
Practice address
223 S 700 E, SALT LAKE CITY, UT 84102-2171
(801) 363-8899
(801) 363-1221
Mailing address
223 S 700 E, SALT LAKE CITY, UT 84102-2171
(801) 363-8899
(801) 363-1221
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176312-1202
UT
Other
Enumeration date
10/21/2008
Last updated
05/03/2010
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