DR. Faxon D Moulder, D.C.

NPI #1427137371 in Pleasant Grove, Utah

Provider Information

NPI Number: 1427137371
Entity Type: Individual
Name: DR. Faxon D Moulder, D.C.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Chiropractor
Credential: D.C.
Enumeration Date: Nov 3, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: 66 E STATE RD
City: Pleasant Grove
State: Utah
ZIP Code: 84062-2637
Phone: (801) 796-7961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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