Healthcare Provider Details

I. General information

NPI: 1053482695
Provider Name (Legal Business Name): ROBERT JAMES SCRANTON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/13/2006
Last Update Date: 08/18/2026
Certification Date: 08/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2964 W 4700 S STE 102
WEST VALLEY CITY UT
84129-2558
US

IV. Provider business mailing address

2964 W 4700 S
WEST VALLEY CITY UT
84129-2557
US

V. Phone/Fax

Practice location:
  • Phone: 801-966-9100
  • Fax:
Mailing address:
  • Phone: 801-966-9100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number8689336-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: