Organization
COMPLETE VITALITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES M VANCHIERE DC (OWNER)
(801) 374-2774
Entity
Organization
Contact information
Practice address
3325 N UNIVERSITY AVE STE 125, PROVO, UT 84604-6615
(801) 374-2774
(801) 374-2775
Mailing address
3325 N UNIVERSITY AVE STE 125, PROVO, UT 84604-6615
(801) 374-2774
(801) 374-2775
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
9648109-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1972962173
NPI
UT
Enumeration date
07/18/2018
Last updated
07/18/2018
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