Organization
GREEN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RALPH KENNETH GREEN D.C. (PRESIDENT)
(801) 968-5400
Entity
Organization
Contact information
Practice address
2048 W 5400 S, SALT LAKE CITY, UT 84118-1428
(801) 968-5400
(801) 968-5405
Mailing address
2048 W 5400 S, SALT LAKE CITY, UT 84118-1428
(801) 968-5400
(801) 968-5405
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1053409235
UT
Other
Enumeration date
08/14/2008
Last updated
05/11/2015
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