Organization
SALT LAKE SPORTS CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRADLEY ALAN ANDERSON D.C. (OWNER)
(360) 402-4840
Entity
Organization
Contact information
Practice address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
(801) 456-0350
(801) 456-0351
Mailing address
3980 S 700 E STE 23, SALT LAKE CITY, UT 84107-2530
(801) 456-0350
(801) 456-0351
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
8536046-1202
UT
Other
Enumeration date
01/15/2013
Last updated
01/23/2018
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