Faxon Moulder, D.C

NPI 1427137371 · on the registry since 2006 · sole proprietor

Practice

Address: 66 E State Rd
Pleasant Grove, UT 84062
Phone: (801) 796-7961
Fax: (801) 796-1104
Organisation at this address: Mount Mahogany Pc
Jan Clements Agnp Corp
Mt Grove Counseling Llc
Actually Connect Counseling, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 8

Registry record

Primary taxonomy: 111N00000X
111N00000X
Licence states on file: UT
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2007-07-08

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Utah