Provider Demographics
NPI:1316126741
Name:FROGLEY, MICHAEL RON (DC)
Entity type:Individual
Prefix:DR
First Name:MICHAEL
Middle Name:RON
Last Name:FROGLEY
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1264 VILLAGE MAIN DR UNIT A
Mailing Address - Street 2:
Mailing Address - City:WEST VALLEY CITY
Mailing Address - State:UT
Mailing Address - Zip Code:84119-1952
Mailing Address - Country:US
Mailing Address - Phone:801-972-5285
Mailing Address - Fax:
Practice Address - Street 1:1264 VILLAGE MAIN DR UNIT A
Practice Address - Street 2:
Practice Address - City:WEST VALLEY CITY
Practice Address - State:UT
Practice Address - Zip Code:84119-1952
Practice Address - Country:US
Practice Address - Phone:801-972-5285
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-01
Last Update Date:2007-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT6790232-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor