Organization
COLARUSSO FAMILY CHIROPRACTIC, PC
Active
Parent organization
COLARUSSO FAMILY CHIROPRACTIC, PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
COLARUSSO FAMILY CHIROPRACTIC, PC
Authorized official
DR. JOHN JOSEPH COLARUSSO D.C. (OWNER)
(801) 878-3645
Entity
Organization
Contact information
Practice address
12571 S. PASTURE ROAD, SUITE E, RIVERTON, UT 84096-7037
(801) 878-3645
(801) 878-3647
Mailing address
12571 S. PASTURE ROAD, SUITE E, RIVERTON, UT 84096-7037
(801) 878-3645
(801) 878-3647
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5072634-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5072634-1202
UTAH LICENSE
UT
Enumeration date
11/21/2007
Last updated
05/06/2008
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