Organization
UTAH NAVAJO HEALTH SYSTEM INCORPORATED
Active
Other names
Blanding Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL JENSEN (CHIEF EXECUTIVE OFFICER)
(435) 651-3713
Entity
Organization
Contact information
Practice address
792 S MAIN ST, BLANDING, UT 84511-3924
(435) 678-2795
Mailing address
PO BOX 130, MONTEZUMA CREEK, UT 84534-0130
(435) 651-3828
(435) 678-0608
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1811991151
—
UT
Enumeration date
08/17/2018
Last updated
08/17/2018
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