Organization
COMPREHENSIVE FAMILY CLINIC
Active
Parent organization
CR ENGLAND, INC
Other names
Lakeside Medical
Organization subpart
Yes
Provider details
NPI number
Legal business name
CR ENGLAND, INC
Authorized official
DR. ERIK MOLL D.C. (MEDICAL DIRECTOR)
(801) 974-3382
Entity
Organization
Contact information
Practice address
4701 W 2100 S, BUILDING 3, SALT LAKE CITY, UT 84120-1223
(801) 974-3382
(801) 974-3295
Mailing address
4701 W 2100 S, BUILDING 3, SALT LAKE CITY, UT 84120-1223
(801) 974-3382
(801) 974-3295
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
6787397-1202
UT
208D00000X
General Practice Physician
Primary
151129-1205
UT
Other
Enumeration date
01/06/2009
Last updated
01/07/2009
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