Individual
ROGER M ELLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
990 MEDICAL DR STE UL-1, BRIGHAM CITY, UT 84302-4713
(435) 723-2311
(435) 723-9706
Mailing address
990 MEDICAL DR STE UL-1, BRIGHAM CITY, UT 84302-4713
(435) 723-2311
(435) 723-9706
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5693956-1202
UT
Other
Enumeration date
10/18/2006
Last updated
07/08/2007
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