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Search › Utah › 207QS0010X

Kevin Mangum, D.O

NPI 1609140847 · on the registry since 2012

Practice

Address
6095 S Fashion Blvd Ste 220
Murray, UT 84107
Phone
(801) 758-8735
Fax
(801) 769-2092
Organisation at this address
Mwh02 Llc
Vortex Llc
Fashion Place Dental
Primary Healthcare, Pllc
Dentistry For Children Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
9

Registry record

Primary taxonomy
207QS0010X
207QS0010X
Also registered as
207Q00000X
Licence states on file
UT
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2023-06-19

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