Headache Relief Specialists LLC
Family Medicine in Tooele, UT. Organization (NPI-2).
NPI number1760826184
StatusActive
Last updated in NPPESApr 29, 2013
Details
- NPI
- 1760826184
- Entity type
- Organization (NPI-2)
- Legal business name
- Headache Relief Specialists LLC
- Organization subpart
- No
- Enumeration date
- Apr 29, 2013
- Last updated
- Apr 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | UT | Yes |
| 111N00000X | Chiropractor | – | UT |
Practice location
1244 No Main, Suite 100Tooele, UT 84074
Phone 435-843-7555
Mailing address
1244 No. Main TTooele, UT 84074
Phone 435-843-7555 · Fax 435-882-3859
Authorized official
Glenn H Thompson
Manager
4358402690
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