Organization
MARK JOLLEY, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARK A JOLLEY DC (OWNER)
(801) 332-9777
Entity
Organization
Contact information
Practice address
2454 MONROE BLVD, OGDEN, UT 84401-2506
(801) 332-9777
(801) 605-3715
Mailing address
2454 MONROE BLVD, OGDEN, UT 84401-2506
(801) 332-9777
(801) 605-3715
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5216116-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
529510508001
—
UT
Enumeration date
11/25/2008
Last updated
12/19/2012
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