Provider Demographics
NPI:1295905305
Name:FREELAND, BRYCE (DC)
Entity type:Individual
Prefix:DR
First Name:BRYCE
Middle Name:
Last Name:FREELAND
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 1:790 E 700 S
Mailing Address - Street 2:
Mailing Address - City:CLEARFIELD
Mailing Address - State:UT
Mailing Address - Zip Code:84015-1204
Mailing Address - Country:US
Mailing Address - Phone:801-776-3974
Mailing Address - Fax:801-776-5332
Practice Address - Street 1:790 E 700 S
Practice Address - Street 2:
Practice Address - City:CLEARFIELD
Practice Address - State:UT
Practice Address - Zip Code:84015-1204
Practice Address - Country:US
Practice Address - Phone:801-776-3974
Practice Address - Fax:801-776-5332
Is Sole Proprietor?:No
Enumeration Date:2008-03-04
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT55343551202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor