Individual
DR. SHON JAMES GOULDING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
880 HERITAGE PARK BLVD, SUITE 120, LAYTON, UT 84041-5676
(801) 614-0550
(801) 614-0554
Mailing address
880 HERITAGE PARK BLVD, SUITE 120, LAYTON, UT 84041-5676
(801) 614-0550
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3452261202
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
107001659101
IHC
UT
01
—
5290622
CNN
UT
05
—
870395551005
—
UT
01
—
870569430
TAX ID
UT
Enumeration date
06/09/2006
Last updated
07/09/2008
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