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NPI Code Detail

MEDICARE: UNIVERSAL CENTER CORPORATION

MEDICARE: UNIVERSAL CENTER CORPORATION
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
1111N00000XChiropractor

General Provider Information

NPI Number : 1790943181
Entity Type Code : Organization
Provider Name (Legal Business Name) : UNIVERSAL CENTER CORPORATION
Provider Business Mailing Address
First Line : 4541 S 700 E STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-4100
Country : US
Telephone Number : 801-266-1307
Fax Number : 801-261-8345
Provider Business Practice Location Address
First Line : 4541 S 700 E STE 100
Second Line :
City : SALT LAKE CITY
State : UT
Zip : 84107-4100
Country : US
Telephone Number : 801-266-1307
Fax Number : 801-261-8345
Authorized Official
Title or Position : OWNER
Name : MR. GARY WHITLEY
Credential :
Telephone Number : 801-266-1307
Provider Enumeration Date : 06/02/2008
Last Update Date : 06/02/2008

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Directions to “UNIVERSAL CENTER CORPORATION ” Practice Location

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