Organization
ADJUSTMENT33
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SPENCER CHASE GARDNER ATC, DC (OWNER AND OPERATOR)
(801) 580-3345
Entity
Organization
Contact information
Practice address
5204 S REDWOOD RD, STE C3, TAYLORSVILLE, UT 84123-4217
(801) 987-0335
Mailing address
5204 S REDWOOD RD, STE C3, TAYLORSVILLE, UT 84123-4217
(801) 987-0335
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7733054-1202
UT
Other
Enumeration date
03/29/2017
Last updated
04/27/2017
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