Individual
BRAKEN WOODEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1893 SKYLINE DR., SUITE 204, SOUTH OGDEN, UT 84403
(801) 621-1667
(801) 605-3807
Mailing address
1893 SKYLINE DR., SUITE 204, SOUTH OGDEN, UT 84403
(801) 621-1667
(801) 605-3807
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
11338371-1202
UT
Other
Enumeration date
07/09/2019
Last updated
04/09/2020
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