Organization
ADVANCED SPINE AND WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM GLEDHILL (OWNER)
(801) 563-2929
Entity
Organization
Contact information
Practice address
10965 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3538
(801) 878-3304
Mailing address
10965 RIVER FRONT PKWY, SOUTH JORDAN, UT 84095-3538
(801) 878-3304
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5187435-1202
UT
Other
Enumeration date
05/14/2008
Last updated
01/06/2009
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