Provider Demographics
NPI:1184803728
Name:MEADORS, JOHN O (DC)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:O
Last Name:MEADORS
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:141 E 5600 S
Mailing Address - Street 2:STE 204
Mailing Address - City:MURRAY
Mailing Address - State:UT
Mailing Address - Zip Code:84107-6180
Mailing Address - Country:US
Mailing Address - Phone:801-262-3118
Mailing Address - Fax:801-262-3016
Practice Address - Street 1:141 E 5600 S
Practice Address - Street 2:STE 204
Practice Address - City:MURRAY
Practice Address - State:UT
Practice Address - Zip Code:84107-6180
Practice Address - Country:US
Practice Address - Phone:801-262-3118
Practice Address - Fax:801-262-3016
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-31
Last Update Date:2007-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6310612-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor