Individual
STEPHEN MARK WHEELER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
5974 FASHION POINT DR, SUITE 110, SOUTH OGDEN, UT 84403-4699
(801) 621-1667
(801) 475-6802
Mailing address
5974 FASHION POINT DR, SUITE 110, SOUTH OGDEN, UT 84403-4699
(801) 621-1667
(801) 475-6802
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2903031202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
204574521
TAX IDENTIFICATION NUMBER
UT
Enumeration date
12/15/2005
Last updated
03/09/2010
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