Leading Edge Chiropractic, INC

NPI #1679951263 in Roosevelt, Utah

Provider Information

NPI Number: 1679951263
Entity Type: Organization
Organization Name: Leading Edge Chiropractic, INC
Primary Specialty: Chiropractor
Enumeration Date: May 14, 2015
Last Updated: May 14, 2015

Practice Location

Address: 301 S 200 E
Address 2: SUITE 1
City: Roosevelt
State: Utah
ZIP Code: 84066-3129
Phone: (435) 722-1461

Authorized Official

Name: JOSEPH DEAN FITZGERALD, DC
Title: CHIROPRACTOR
Phone: (435) 722-1461

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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