KEVIN MANGUM

MURRAY, UT
NPI1609140847
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy207QS0010X Family Medicine, Sports Medicine
(Licence: UT  8164477-1204)
Additional Taxonomies207Q00000X Family Medicine
(Licence: UT  8164477-1204)
Enumeration Date2012-03-06
Last Update Date2023-06-19
Business Address
KEVIN MANGUM D.O.
6095 S FASHION BLVD STE 220
MURRAY, UT 84107-7393
Phone number: 801-758-8735
Mailing Address
KEVIN MANGUM D.O.
6095 S FASHION BLVD STE 220
MURRAY, UT 84107-7393
Phone number: 801-758-8735