Provider Demographics
NPI:1053690883
Name:UTASH, JOSEPH (DC)
Entity type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:
Last Name:UTASH
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 1:4558 N 1ST AVE STE 110
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85718-5687
Mailing Address - Country:US
Mailing Address - Phone:520-797-6683
Mailing Address - Fax:520-797-4579
Practice Address - Street 1:4558 N 1ST AVE STE 110
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85718-5687
Practice Address - Country:US
Practice Address - Phone:520-797-6683
Practice Address - Fax:520-797-4579
Is Sole Proprietor?:No
Enumeration Date:2011-08-10
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ8218111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor