Organization
WILDE CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LARRY G WILDE D.C. (OWNER)
(801) 756-8833
Entity
Organization
Contact information
Practice address
246 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 756-8833
(801) 756-9014
Mailing address
246 S 1100 E, AMERICAN FORK, UT 84003-2829
(801) 756-8833
(801) 756-9014
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
290149-1202
UT
Other
Enumeration date
08/15/2006
Last updated
08/22/2020
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