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Individual
DR. BRYCE HOUGAARD
Active
Individual
DR. BRYCE HOUGAARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176437-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
68-0533648
TAX ID # FOR PRACTICE
UT
Enumeration date
10/03/2006
Last updated
01/17/2020
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