NPI | 1003088402 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC J BRADY Chiropractor 801-375-2420 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 355063-1202) |
Enumeration Date | 2008-03-26 |
Last Update Date | 2008-03-28 |