Organization
STEVENS CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEE STEVENS DC (OWNER/PRESIDENT)
(435) 755-7654
Entity
Organization
Contact information
Practice address
1635 N 200 E, NORTH LOGAN, UT 84341-1913
(435) 755-7654
(435) 753-7654
Mailing address
1635 N 200 E, NORTH LOGAN, UT 84341-1913
(435) 755-7654
(435) 753-7654
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
329761-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
570276634001
—
UT
Enumeration date
09/02/2011
Last updated
09/02/2011
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