Chiropractic Supply Network

NPI #1386914737 in Cedar City, Utah

Provider Information

NPI Number: 1386914737
Entity Type: Organization
Organization Name: Chiropractic Supply Network
Primary Specialty: Chiropractor
Enumeration Date: Jan 3, 2012
Last Updated: Jan 3, 2012

Practice Location

Address: 96 N MAIN ST
Address 2: STE 103
City: Cedar City
State: Utah
ZIP Code: 84720-3055
Phone: (435) 867-8986

Authorized Official

Name: DR. BLAINE ALAN FORD, DC
Title: PRESIDENT
Phone: (435) 867-8986

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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