Organization
THOMAS D ROSE DC PC
Active
Other names
Sevier Valley Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. THOMAS D ROSE D.C. (DOCTOR/OWNER)
(435) 896-8820
Entity
Organization
Contact information
Practice address
489 N MAIN ST, RICHFIELD, UT 84701-1822
(435) 896-8820
(435) 896-0334
Mailing address
489 N MAIN ST, RICHFIELD, UT 84701-1822
(435) 896-8820
(435) 896-0334
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
164775-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1032704
AMERICAN SPECIALTY HEALTH
—
01
—
36360
DESERET MUTUAL
UT
05
—
530341920016
—
UT
01
—
53034192077001
BLUE CROSS BLUE SHIELD
UT
01
—
870395551RO1
EDUCATORS MUTUAL
UT
Enumeration date
04/11/2008
Last updated
01/12/2017
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