Organization
TOOELE VALLEY SPINE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLENN H. THOMPSON D.C. (DOCTOR OWNER)
(435) 883-9200
Entity
Organization
Contact information
Practice address
1244 N MAIN ST STE 100, TOOELE, UT 84074-9839
(435) 833-9200
(435) 833-9223
Mailing address
1244 N MAIN ST STE 100, TOOELE, UT 84074-9839
(435) 833-9200
(435) 833-9223
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
17-6239-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870395551005
—
UT
Enumeration date
02/13/2007
Last updated
08/22/2020
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