Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 6961488-1202 | UT |
N | 111NP0017X | Pediatric Chiropractor | 6961488-1202 | UT |
NPI | 1164681854 |
---|---|
Provider Name | Dr. Bryce Charles Hill |
First Address | Murray, UT 84123-7966 |
Second Address | Murray, UT 84123-7966 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/06/2008 |
Last Update Date | 01/06/2016 |