Organization
THE CHIROPRACTIC AVENUE
Active
Other names
Balanced Spinal Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRENT DAVID NOORDA D.C. (MANAGING PARTNER)
(435) 688-2292
Entity
Organization
Contact information
Practice address
169 W 2710 SOUTH CIR, SUITE 204, ST GEORGE, UT 84790-7201
(435) 688-2292
Mailing address
169 W 2710 SOUTH CIR, SUITE 204, ST GEORGE, UT 84790-7201
(435) 688-2292
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
7443716-1202
UT
Other
Enumeration date
01/04/2011
Last updated
01/04/2011
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