Individual
DONALD EVERETT VRADENBURG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
321 N MALL DR, SUITE I 201, ST GEORGE, UT 84790-7302
(435) 574-2995
Mailing address
321 N MALL DR, SUITE I 201, ST GEORGE, UT 84790-7302
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
176130-1202
UT
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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