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Organization

PACK CHIROPRACTIC CLINIC, INC

Active
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Organization

PACK CHIROPRACTIC CLINIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID PACK DC (PRESIDENT)
(801) 245-9010
Entity
Organization

Contact information

Practice address
2565 TYLER AVE, OGDEN, UT 84401-2818
(801) 245-9010
Mailing address
2565 TYLER AVE, OGDEN, UT 84401-2818
(801) 245-9010

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
1305
OH
111NX0800X
Orthopedic Chiropractor
1305
OH

Other

Enumeration date
01/05/2012
Last updated
02/08/2017
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