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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