Organization
GREAT WESTERN CHIROPRACTIC MANAGEMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANTOINE H HARRIS DC (PRESIDENT)
(801) 224-3661
Entity
Organization
Contact information
Practice address
382 E 720 S, OREM, UT 84058-6342
(801) 224-3661
Mailing address
PO BOX 1232, OREM, UT 84059-1232
(801) 224-3661
(801) 226-3287
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1508171202
UT
Other
Enumeration date
01/30/2007
Last updated
07/21/2022
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