Individual
JAKE WALDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
520 MEDICAL DR STE 200, BOUNTIFUL, UT 84010-8928
(801) 292-4400
(801) 292-4400
Mailing address
281 W PHEASANTBROOK DR, CENTERVILLE, UT 84014-1452
(801) 543-9367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
10540804-1202
UT
Other
Enumeration date
10/19/2017
Last updated
10/19/2017
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