Organization
ACTIVE LIFE CHIROPRACTIC CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT ERIC CHAMBERLAIN DC (PRESIDENT)
(435) 229-2649
Entity
Organization
Contact information
Practice address
676 S BLUFF ST, SUITE 200, ST GEORGE, UT 84770-3596
(435) 674-7515
(435) 674-7565
Mailing address
259 S 2670 E, ST GEORGE, UT 84790-6412
(435) 229-2649
(435) 674-7565
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7154097-1202
UT
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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