Individual
DR. GREGORY LEWIS HADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
715 E 3900 S, SUITE 109, SALT LAKE CITY, UT 84107-2182
(801) 268-4993
Mailing address
715 E 3900 S, SUITE 109, SALT LAKE CITY, UT 84107-2182
(801) 268-4993
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5770376-1202
UT
Other
Enumeration date
06/03/2007
Last updated
07/09/2007
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