Organization
BLUE MOUNTAIN CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. THOMAS R MAUGHAN D.C. (OWNER/DOCTOR)
(435) 587-3255
Entity
Organization
Contact information
Practice address
225 SO. MAIN, MONTICELLO, UT 84535-0783
(435) 587-3255
(435) 587-3442
Mailing address
PO BOX 783, 225 SO. MAIN, MONTICELLO, UT 84535-0783
(435) 587-3255
(435) 587-3442
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
176449-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
870395551005
—
UT
Enumeration date
12/19/2007
Last updated
12/19/2007
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