Organization
HEALTH BY CHOICE SPINE & REHAB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RALPH KENNETH GREEN MD (OWNER)
(801) 259-5214
Entity
Organization
Contact information
Practice address
2048 W 5400 S STE D, TAYLORSVILLE, UT 84129-1428
(801) 259-5214
(801) 968-5405
Mailing address
2048 W 5400 S STE D, TAYLORSVILLE, UT 84129-1428
(801) 259-5214
(801) 968-5405
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
1710441202
UT
Other
Enumeration date
09/28/2012
Last updated
09/28/2012
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