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Individual

DR. RANDALL EDWARD WOODWARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
10684 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 816-0332
Mailing address
10684 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3525
(801) 816-0332

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
263628-1202
UT

Other

Enumeration date
01/22/2009
Last updated
01/22/2009
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