Individual
IAN BISHARAT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
480 E WINCHESTER ST STE 130, MURRAY, UT 84107-5084
(801) 200-5200
Mailing address
480 E WINCHESTER ST STE 130, MURRAY, UT 84107-5084
(801) 200-5200
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13730410
UT
Other
Enumeration date
05/06/2024
Last updated
05/06/2024
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