Organization
DRAPER CHIROPRACTIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TIMOTHY R GOODWIN D.C. (OWENER)
(801) 523-8700
Entity
Organization
Contact information
Practice address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 523-8700
(801) 523-8191
Mailing address
392 E 12300 S STE C, DRAPER, UT 84020-8043
(801) 523-8700
(801) 523-8191
Taxonomy
Speciality
Code
Description
License number
State
111NX0100X
Occupational Health Chiropractor
Primary
3583261202
UT
Other
Enumeration date
06/09/2008
Last updated
06/09/2008
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