Individual
GREG MILO BOSSHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
320 S 50 W, EPHRAIM, UT 84627-4023
(435) 283-7955
Mailing address
320 S 50 W, EPHRAIM, UT 84627-4023
(435) 283-7955
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
2012004603
MO
111N00000X
Chiropractor
Primary
8303581-1202
UT
Other
Enumeration date
05/08/2012
Last updated
08/14/2012
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