Provider Demographics
NPI:1255075537
Name:ALPERS, CAMERON PATRICK (DC)
Entity type:Individual
Prefix:
First Name:CAMERON
Middle Name:PATRICK
Last Name:ALPERS
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 1:1765 N 200 E APT 15A
Mailing Address - Street 2:
Mailing Address - City:NORTH LOGAN
Mailing Address - State:UT
Mailing Address - Zip Code:84341-1966
Mailing Address - Country:US
Mailing Address - Phone:346-345-7958
Mailing Address - Fax:
Practice Address - Street 1:115 N MAIN ST
Practice Address - Street 2:
Practice Address - City:SMITHFIELD
Practice Address - State:UT
Practice Address - Zip Code:84335-1907
Practice Address - Country:US
Practice Address - Phone:346-345-7958
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-23
Last Update Date:2022-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT12813189-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor