Organization
INTEGRATED WELLNESS SOUTH JORDAN PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY WOODWARD D.C. (OWNER)
(801) 816-0332
Entity
Organization
Contact information
Practice address
10684 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 816-0332
(801) 816-0331
Mailing address
10684 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 816-0332
(801) 816-0331
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
263628-1202
UT
Other
Enumeration date
11/09/2010
Last updated
05/15/2013
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