Individual
BRANT TUCKER STOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1681 W 3860 S STE 106, WEST VALLEY, UT 84119-6274
(801) 997-0280
Mailing address
290 N 800 W, WEST BOUNTIFUL, UT 84087-1425
(801) 882-4330
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
8715752-1202
UT
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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