NPI 1629407697

Integrated Functional Medicine

Organisation General Practice Physician Bountiful, UT

Practice location

Address: 458 N 500 W, Bountiful, UT 84010-6948
Phone: (801) 292-9355
Fax: (801) 296-8050

Authorised official

Name: Cory Frogley
Title: Owner
Phone: (801) 292-9355

Registered specialties

General Practice Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208D00000X

Other General Practice providers in Utah →

Registry record

NPI: 1629407697
Entity type: Organization
NPI issued: 11 Nov 2013
Record last updated: 11 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.