Mount Mahogany PC

NPI #1881711349 in Pleasant Grove, Utah

Provider Information

NPI Number: 1881711349
Entity Type: Organization
Organization Name: Mount Mahogany PC
Primary Specialty: Chiropractor
Enumeration Date: Mar 22, 2007
Last Updated: Jul 18, 2014

Practice Location

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

Authorized Official

Name: DR. FAXON D MOULDER, D.C.
Title: CHIROPRACTOR
Phone: (801) 796-7961

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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