Provider Demographics
NPI:1710226766
Name:ZIEGLER, DAVID LAWRENCE (DC)
Entity Type:Individual
Prefix:DR
First Name:DAVID
Middle Name:LAWRENCE
Last Name:ZIEGLER
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2642 E PARTRIDGE WAY
Mailing Address - Street 2:
Mailing Address - City:SANDY
Mailing Address - State:UT
Mailing Address - Zip Code:84093-2838
Mailing Address - Country:US
Mailing Address - Phone:801-875-9957
Mailing Address - Fax:801-365-6099
Practice Address - Street 1:2642 E PARTRIDGE WAY
Practice Address - Street 2:
Practice Address - City:SANDY
Practice Address - State:UT
Practice Address - Zip Code:84093-2838
Practice Address - Country:US
Practice Address - Phone:801-875-9957
Practice Address - Fax:801-365-6099
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-12
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT379788-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor