Healthcare Provider Details

I. General information

NPI: 1982640454
Provider Name (Legal Business Name): J CHRISTOPHER ROMNEY D.C., F.A.C.O.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 12/09/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

965 S MAIN ST SUITE A
CEDAR CITY UT
84720-4383
US

IV. Provider business mailing address

655 S SAINT JAMES PL
CEDAR CITY UT
84720-3696
US

V. Phone/Fax

Practice location:
  • Phone: 435-586-9904
  • Fax: 435-586-9648
Mailing address:
  • Phone: 435-586-0067
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number167627-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: