Organization
CORNERSTONE CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TODD THOMAS DOXEY D.C. (DIRECT OWNER)
(801) 394-9450
Entity
Organization
Contact information
Practice address
4013 PACIFIC AVE, RIVERDALE, UT 84405-1511
(801) 394-9450
(801) 866-0033
Mailing address
PO BOX 3243, OGDEN, UT 84409-1243
(801) 394-9450
(801) 866-0033
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
345031-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
48453
PEHP
UT
01
—
528239429
DMBA
UT
05
—
528239429001
—
UT
01
—
52823942977001
BCBS
UT
01
—
870395551DO4
EMIA
UT
01
—
QM0000026401
ALTIUS
UT
Enumeration date
12/04/2006
Last updated
01/06/2011
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