Organization
LEADING EDGE CHIROPRACTIC, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH DEAN FITZGERALD DC (CHIROPRACTOR)
(435) 722-1461
Entity
Organization
Contact information
Practice address
301 S 200 E, SUITE 1, ROOSEVELT, UT 84066-3129
(435) 722-1461
(435) 722-1444
Mailing address
301 S 200 E, SUITE 1, ROOSEVELT, UT 84066-3129
(435) 722-1461
(435) 722-1444
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
367520-1201
UT
Other
Enumeration date
05/14/2015
Last updated
05/14/2015
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