Mount Logan Chiropractic INC
NPI #1740553510 in Providence, Utah
Provider Information
- NPI Number
- 1740553510
- Entity Type
- Organization
- Organization Name
- Mount Logan Chiropractic INC
- Primary Specialty
- Exclusive Provider Organization
- Enumeration Date
- Feb 9, 2012
- Last Updated
- Mar 29, 2012
Practice Location
- Address
- 267 N SPRING CREEK PKWY
- City
- Providence
- State
- Utah
- ZIP Code
- 84332-9775
- Phone
- (435) 792-9400
Authorized Official
- Name
- STEVEN SCOTT GARVERT, DC.
- Title
- OWNER/CHIROPRACTOR
- Phone
- (435) 792-9400
Specialties & Taxonomy Codes
| Specialty |
|---|
| Exclusive Provider Organization |
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