Organization
INTEGRATED FUNCTIONAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CORY FROGLEY (OWNER)
(801) 292-9355
Entity
Organization
Contact information
Practice address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 292-9355
(801) 296-8050
Mailing address
458 N 500 W, BOUNTIFUL, UT 84010-6948
(801) 292-9355
(801) 296-8050
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
11/11/2013
Last updated
11/11/2013
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