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Nathan Jeremy Black, DC
Chiropractor in Park City, Utah
NPI 1316434913

Nathan Jeremy Black is a Chiropractor based in Park City, UT. Nathan Jeremy Black practices in Park City, UT and has the professional credentials of DC. The NPI Number for Nathan Jeremy Black is 1316434913 and holds a License No. 9242074-1202 (Utah).

The current practice location address for Nathan Jeremy Black is 1901 Prospector Ave, Park City, UT and can be reached out via phone at 435-649-1542 and via fax at 435-658-4909. You can also correspond with Nathan Jeremy Black through the mailing address at PO BOX 680638, PARK CITY, UT - 84068-0638 (mailing address contact number: 435-649-1542).

Location: 1901 Prospector Ave, Park City, UT, 84068-0638
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1316434913
Provider Name
Nathan Jeremy Black
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1901 Prospector Ave, Park City, UT, 84068-0638
Phone Number
435-649-1542
Fax Number
435-658-4909
Provider Enumeration Date
04/18/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1901 Prospector Ave
City
Park City
State
Utah
Zip
84060-7207
Phone Number
435-649-1542
Fax Number
435-658-4909
person
Provider Business Mailing Address Details
Address
1901 Prospector Ave
City
Park City
State
Utah
Zip
84060-7207
Phone Number
435-649-1542
Fax Number
435-658-4909
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
9242074-1202 (Utah)
Definition
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.
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