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NPI Code Detail

MEDICARE: PEAK CHIROPRACTIC HEALTH CLINIC LLC

MEDICARE: PEAK CHIROPRACTIC HEALTH CLINIC LLC
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
1111N00000XChiropractor7254418-1202UT

General Provider Information

NPI Number : 1366678583
Entity Type Code : Organization
Provider Name (Legal Business Name) : PEAK CHIROPRACTIC HEALTH CLINIC LLC
Provider Business Mailing Address
First Line : 942 CHAMBERS ST STE 11
Second Line :
City : SOUTH OGDEN
State : UT
Zip : 84403-5131
Country : US
Telephone Number : 801-475-0360
Fax Number : 801-475-0358
Provider Business Practice Location Address
First Line : 942 CHAMBERS ST STE 11
Second Line :
City : SOUTH OGDEN
State : UT
Zip : 84403-5131
Country : US
Telephone Number : 801-475-0360
Fax Number : 801-475-0358
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. JEREMY JAMES GRIFFIN
Credential : D.C.
Telephone Number : 801-475-0360
Provider Enumeration Date : 06/02/2009
Last Update Date : 05/21/2019

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Directions to “PEAK CHIROPRACTIC HEALTH CLINIC LLC ” Practice Location

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