Organization
G.C.A.R. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY DAVID GIBBONS D.C. (CHIROPRACTIC PHYSICIAN)
(435) 563-2514
Entity
Organization
Contact information
Practice address
1177 S MAIN ST, SMITHFIELD, UT 84335-6764
(435) 563-2514
(435) 535-0769
Mailing address
1177 S MAIN ST, SMITHFIELD, UT 84335-6764
(435) 563-2514
(435) 535-0769
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6095811-1202
UT
Other
Enumeration date
08/28/2012
Last updated
08/28/2012
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