Healthcare Provider Details

I. General information

NPI: 1659784411
Provider Name (Legal Business Name): ALLAN POST L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/09/2014
Last Update Date: 06/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5005 S 900 E
MURRAY UT
84117-5788
US

IV. Provider business mailing address

5005 S 900 E
MURRAY UT
84117-5788
US

V. Phone/Fax

Practice location:
  • Phone: 801-590-8337
  • Fax:
Mailing address:
  • Phone: 801-590-8337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number8471555-1201
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: