Individual
JUSTIN HEIDEMANN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2605 E 3300 S, SALT LAKE CITY, UT 84109-2728
(801) 855-6959
Mailing address
2605 E 3300 S, SALT LAKE CITY, UT 84109-2728
(801) 855-6959
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
13719382-1202
UT
Other
Enumeration date
01/22/2024
Last updated
07/23/2024
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