DR. FAXON D MOULDER D.C. - NPI 1427137371 - Chiropractor in Pleasant Grove, UT

Q: What is Faxon Moulder's NPI number?

The NPI number for Faxon Moulder is 1427137371. It was assigned to this individual provider in the NPPES registry on November 3, 2006.

Q: What is Faxon Moulder's specialty?

The primary specialty registered for this NPI is Chiropractor with taxonomy code 111N00000X.

Q: When was this NPI record last updated?

The NPPES record for Faxon Moulder was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Dr. Faxon D Moulder D.c. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. FAXON D MOULDER D.C. (NPI 1427137371) is an individual chiropractor in Pleasant Grove, Utah, licensed in Utah (2774319-41202) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1427137371

Entity TypeIndividualMale

Primary Taxonomy111N00000X

Provider Legal NameDR. FAXON D MOULDERCredential: D.C.

Location Address66 E STATE RDPleasant Grove, UT 84062-2637

Mailing Address66 E State RdPleasant Grove, UT 84062-2637 · (801) 796-7961 · Fax (801) 796-1104

Phone(801) 796-7961

Fax(801) 796-1104

Sole ProprietorYes

Enumeration DateNovember 3, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1427137371 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyChiropractorChiropractic Providers

Taxonomy Code111N00000X

License✔ Licensed in UT · 2774319-41202

Definition

A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems.

66 E STATE RD, Pleasant Grove, UT 84062

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