Individual
DR. GANNON O WARD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 849-1029
(801) 890-0513
Mailing address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 849-1029
(801) 890-0513
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11172962-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11172962-1202
UTAH CHIROPRACTIC LICENSE NUMBER
UT
Enumeration date
03/19/2019
Last updated
06/11/2019
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