Organization
PARK CHIROPRACTIC
Active
Other names
Advanced Technology Spinal Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERRY EUGENE PARK PHD, DC, (OWNER)
(801) 298-7330
Entity
Organization
Contact information
Practice address
174 W PARRISH LN, CENTERVILLE, UT 84014-1821
(801) 298-7330
Mailing address
174 W PARRISH LN, CENTERVILLE, UT 84014-1821
(801) 298-7330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
174995-1202
UT
Other
Enumeration date
07/17/2006
Last updated
08/22/2020
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