The Dirty Dozen, Llc.

NPI #1811387624 in Tremonton, Utah

Provider Information

NPI Number: 1811387624
Entity Type: Organization
Organization Name: The Dirty Dozen, Llc.
Primary Specialty: Chiropractor
Enumeration Date: Feb 1, 2015
Last Updated: Feb 1, 2015

Practice Location

Address: 805 W MAIN ST STE C
City: Tremonton
State: Utah
ZIP Code: 84337-2608
Phone: (435) 257-0106

Authorized Official

Name: DR. LELAND PHELPS, D.C.
Title: OWNER
Phone: (435) 257-0106

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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