Alpine Spinal Rehabilitation Ctr

NPI #1578731949 in Provo, Utah

Provider Information

NPI Number: 1578731949
Entity Type: Organization
Organization Name: Alpine Spinal Rehabilitation Ctr
Primary Specialty: Chiropractor
Enumeration Date: Feb 19, 2008
Last Updated: Dec 2, 2016

Practice Location

Address: 3325 N UNIVERSITY AVE STE 125
City: Provo
State: Utah
ZIP Code: 84604-6615
Phone: (801) 374-2774

Authorized Official

Name: JERRY CLARK, D.C.
Title: OWNER/PRESIDENT
Phone: (801) 374-2774

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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