Evergreen Chiropractic, Pllc

NPI #1316103864 in Orem, Utah

Provider Information

NPI Number: 1316103864
Entity Type: Organization
Organization Name: Evergreen Chiropractic, Pllc
Primary Specialty: Chiropractor
Enumeration Date: Aug 4, 2008
Last Updated: Aug 4, 2008

Practice Location

Address: 1445 N 1200 W
City: Orem
State: Utah
ZIP Code: 84057-2449
Phone: (801) 224-2279

Authorized Official

Name: DR. GEOFFREY G. MOULTRIE, D.C.
Title: OWNER
Phone: (801) 224-2279

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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