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NPI Code Detail

MEDICARE: DR. BRENT JAMES MAYER D.C.

MEDICARE:  DR. BRENT JAMES MAYER  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor48735991202UT

General Provider Information

NPI Number : 1780855635
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. BRENT JAMES MAYER D.C.
Provider Business Mailing Address
First Line : 926 W 1700 S
Second Line : SUITE B
City : CLEARFIELD
State : UT
Zip : 84015-8530
Country : US
Telephone Number : 801-775-8880
Fax Number : 801-775-8890
Provider Business Practice Location Address
First Line : 926 W 1700 S
Second Line : SUITE B
City : CLEARFIELD
State : UT
Zip : 84015-8530
Country : US
Telephone Number : 801-775-8880
Fax Number : 801-775-8890
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2008
Last Update Date : 03/19/2008

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Directions to “ DR. BRENT JAMES MAYER D.C.” Practice Location

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