Individual
JONATHAN KROGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1172 E 100 N STE 9, PAYSON, UT 84651-1691
(801) 691-1194
Mailing address
1172 E 100 N STE 9, PAYSON, UT 84651-1691
(801) 691-1194
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11544936-1202
UT
Other
Enumeration date
04/13/2020
Last updated
01/14/2022
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