Individual
DR. TROY J RAVEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
316 E STATE RD, PLEASANT GROVE, UT 84062-3617
(801) 400-8732
Mailing address
316 E STATE RD, PLEASANT GROVE, UT 84062-3617
(801) 400-8732
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
12972586-1202
UT
111NN1001X
Nutrition Chiropractor
12972586-1202
UT
111NP0017X
Pediatric Chiropractor
12972586-1202
UT
Other
Enumeration date
06/18/2024
Last updated
06/18/2024
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