Individual
DR. GEOFFREY MOULTRIE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
196 S MAIN ST, PLEASANT GROVE, UT 84062-2631
(801) 785-9115
(801) 785-9195
Mailing address
2123 TUSCANY WAY, PLEASANT GROVE, UT 84062-8580
(801) 796-9967
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5289181-1202
UT
Other
Enumeration date
01/24/2007
Last updated
07/08/2007
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