Individual
ADAM MARCUS FENENBOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
175 W 400 N, OREM, UT 84057-4658
(801) 607-2707
Mailing address
175 W 400 N, OREM, UT 84057-4658
(801) 607-2707
(801) 607-1939
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6736
MT
Other
Enumeration date
12/23/2020
Last updated
09/17/2021
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