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Individual

DR. MATTHEW MARK WOOLLEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
2061 E 9400 S, SANDY, UT 84093-3128
(801) 943-8308
(801) 438-0058
Mailing address
2061 E 9400 S, SANDY, UT 84093-3128
(801) 943-8308
(801) 438-0058

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5368537-1202
UT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
87039551
CHIROPRACTIC HEALTH PLAN
UT
05
870395551005
UT
Enumeration date
02/15/2007
Last updated
07/08/2007
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