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Individual

DR. BRYCE HOUGAARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1068 W SOUTH JORDAN PKWY, SOUTH JORDAN, UT 84095-8882
(801) 523-8700
(801) 523-8191
Mailing address
PO BOX 5, MILLVILLE, UT 84326-0005
(435) 232-4279
(888) 668-5207

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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