Organization
EVERGREEN CHIROPRACTIC, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEOFFREY G. MOULTRIE D.C. (OWNER)
(801) 224-2279
Entity
Organization
Contact information
Practice address
1445 N 1200 W, OREM, UT 84057-2449
(801) 224-2279
(801) 224-2381
Mailing address
1445 N 1200 W, OREM, UT 84057-2449
(801) 224-2279
(801) 224-2381
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5289181-1202
UT
Other
Enumeration date
08/04/2008
Last updated
08/04/2008
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