Organization
ALTA VIEW CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY WANN D.C. (OWNER)
(801) 523-3898
Entity
Organization
Contact information
Practice address
1025 E 11400 S, STE. 104, SANDY, UT 84094-6942
(801) 523-3898
Mailing address
1025 E 11400 S, STE. 104, SANDY, UT 84094-6942
(801) 523-3898
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
5636714-1202
UT
Other
Enumeration date
03/19/2008
Last updated
03/19/2008
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