Organization
FROGLEY HEALTH AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CORY M FROGLEY D.C (OWNER)
(801) 292-9355
Entity
Organization
Contact information
Practice address
135 SOUTH 500 WEST, BOUNTIFUL, UT 84010
(801) 292-9355
(801) 296-8050
Mailing address
135 SOUTH 500 WEST, BOUNTIFUL, UT 84010
(801) 292-9355
(801) 296-8050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
272983-1202
UT
111N00000X
Chiropractor
4828483-1202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0272983-1202
DR. BLACK STATE LICENSE
UT
01
—
02729831201001
DR. BLACK BCBS
UT
01
—
1033168372
DR. CORYS NPI #
UT
01
—
1699725747
DR. BLACK NPI #
UT
01
—
1780632232
GROUP NPI #
UT
01
—
4828483-1202
DR. CORY STATE LICENSE #
UT
01
—
4828483120001
DR. CORY BCBS #
UT
05
—
482848312001
—
UT
05
—
870395551005
—
UT
Enumeration date
05/05/2006
Last updated
04/20/2008
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