Provider Demographics
NPI:1790825388
Name:FROGLEY, SCOTT H (CCEP)
Entity Type:Individual
Prefix:DR
First Name:SCOTT
Middle Name:H
Last Name:FROGLEY
Suffix:
Gender:M
Credentials:CCEP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10684 RIVER FRONT PKWY
Mailing Address - Street 2:
Mailing Address - City:SOUTH JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84095-3525
Mailing Address - Country:US
Mailing Address - Phone:801-816-0332
Mailing Address - Fax:801-816-0331
Practice Address - Street 1:10684 RIVER FRONT PKWY
Practice Address - Street 2:
Practice Address - City:SOUTH JORDAN
Practice Address - State:UT
Practice Address - Zip Code:84095-3525
Practice Address - Country:US
Practice Address - Phone:801-816-0332
Practice Address - Fax:801-816-0331
Is Sole Proprietor?:No
Enumeration Date:2007-02-06
Last Update Date:2011-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT294505-1202111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
UT214914OtherALTIUS
UT244741OtherDMBA
UT87-0395551OtherCHP
UT043706709OtherBEECHSTREET
UT870395551SFROtherEDUCATORS MUTUAL
UT043706709OtherFIRST HEALTH NETWORK
UT77250OtherPEHP
UT77250OtherPEHP