Organization
ASPEN FALLS SPINAL CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DUSTIN J HEDSTROM D.C. (OWNER)
(801) 363-0060
Entity
Organization
Contact information
Practice address
505 E 200 S, STE 425, SALT LAKE CITY, UT 84102-2022
(801) 363-0060
(801) 363-3926
Mailing address
505 E 200 S, STE 425, SALT LAKE CITY, UT 84102-2022
(801) 363-0060
(801) 363-3926
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
67900091202
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831383298
INDIVIDUAL NPI NUMBER
KS
Enumeration date
08/08/2008
Last updated
08/08/2008
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