Healthcare Provider Details

I. General information

NPI: 1811184799
Provider Name (Legal Business Name): DR. ARTHUR LABELLE PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2007
Last Update Date: 09/25/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3070 RASMUSSEN RD SUITE #110
PARK CITY UT
84098-5486
US

IV. Provider business mailing address

3070 RASMUSSEN RD SUITE #110
PARK CITY UT
84098-5486
US

V. Phone/Fax

Practice location:
  • Phone: 435-649-1230
  • Fax: 435-604-8991
Mailing address:
  • Phone: 435-649-1230
  • Fax: 435-604-8991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NS0005X
TaxonomySports Physician Chiropractor
License Number3643651202
License Number StateUT

VIII. Authorized Official

Name: DR. ARTHUR JAMES LABELLE
Title or Position: OWNER
Credential: D.C.
Phone: 435-649-1230