Organization
SOUTHWEST PERSONAL INJURY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRAD N PETERSON DC (PRESIDENT)
(801) 254-9400
Entity
Organization
Contact information
Practice address
14584 S VALLEY CREST WAY, BLUFFDALE, UT 84065-5163
(801) 254-9400
(801) 254-5739
Mailing address
14584 S VALLEY CREST WAY, BLUFFDALE, UT 84065-5163
(801) 254-9400
(801) 254-5739
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176210-1202
UT
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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