Organization
RED BUTTE CHIROPRACTIC CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL CONRAD LANE D.C. (CHIROPRACTOR)
(801) 322-3067
Entity
Organization
Contact information
Practice address
525 E 100 S STE 420, SALT LAKE CITY, UT 84102-2072
(801) 322-3067
(801) 322-4054
Mailing address
1781 S 2500 E, SALT LAKE CITY, UT 84108-3049
(801) 322-3067
(801) 322-4054
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
159542-1202
UT
Other
Enumeration date
12/14/2011
Last updated
12/14/2011
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