Individual
JONATHAN GEORGE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
761 W ANTELOPE DR, LAYTON, UT 84041-1630
(801) 779-2620
Mailing address
417 E WOODLAKE LN APT 176, MILLCREEK, UT 84107-1649
(928) 821-5336
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11197535-1202
UT
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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