Organization
JOINT AND SPINE CARE CENTER OF UTAH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DERRICK STANBRIDGE DC (OWNER)
(801) 458-0152
Entity
Organization
Contact information
Practice address
2195 W 5400 S, STE 105, TAYLORSVILLE, UT 84129-1431
(801) 964-2400
Mailing address
2195 W 5400 S, STE 105, TAYLORSVILLE, UT 84129-1431
(801) 964-2400
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
48011471202
UT
Other
Enumeration date
09/17/2015
Last updated
09/21/2015
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