Individual provider · Type 1 NPI
Roger M. Ellis, DC
Chiropractor · Brigham City, UT
NPI number
1740361435
Active
Practice location
990 Medical Dr Ste UL-1
Brigham City, UT 84302-4713
Fax (435) 723-9706
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Chiropractor Primary | 111N00000X | 5693956-1202 (UT) |
Chiropractor: A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.
3 other providers at this address
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About NPI 1740361435
Roger M. Ellis, DC's National Provider Identifier is 1740361435, issued on Oct 18, 2006. The primary taxonomy on file is Chiropractor (111N00000X), and the practice location is in Brigham City, UT. The record was last updated on Jul 8, 2007.