Provider Demographics
NPI:1083789689
Name:FIRST PHYSICIANS
Entity Type:Organization
Organization Name:FIRST PHYSICIANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:COPE
Authorized Official - Last Name:TAYLOR
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:801-782-3060
Mailing Address - Street 1:298 24TH ST
Mailing Address - Street 2:SUITE 435C
Mailing Address - City:OGDEN
Mailing Address - State:UT
Mailing Address - Zip Code:84401-1431
Mailing Address - Country:US
Mailing Address - Phone:801-782-3060
Mailing Address - Fax:801-334-8499
Practice Address - Street 1:298 24TH ST
Practice Address - Street 2:SUITE 435C
Practice Address - City:OGDEN
Practice Address - State:UT
Practice Address - Zip Code:84401-1431
Practice Address - Country:US
Practice Address - Phone:801-782-3060
Practice Address - Fax:801-334-8499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-21
Last Update Date:2011-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT176103-1202111NR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111NR0400XChiropractic ProvidersChiropractorRehabilitationGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT000055907Medicare ID - Type UnspecifiedMULTI SPECIALITY GROUP