Healthcare Provider Details

I. General information

NPI: 1386714459
Provider Name (Legal Business Name): TODD THOMAS DOXEY D.C, M.P.H.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/08/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4013 PACIFIC AVE
RIVERDALE UT
84405-1511
US

IV. Provider business mailing address

464 29TH ST
OGDEN UT
84401-4243
US

V. Phone/Fax

Practice location:
  • Phone: 801-394-9450
  • Fax: 801-866-0033
Mailing address:
  • Phone: 801-394-9450
  • Fax: 801-866-0033

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number345031-1202
License Number StateUT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: