Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | 323502-1202 | UT |
NPI | 1134347453 |
---|---|
Provider Name | Dr. Glenn Robert Day |
First Address | Riverton, UT 84065-7118 |
Second Address | Riverton, UT 84065-7118 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/04/2007 |
Last Update Date | 08/07/2007 |