| NPI | 1053861567 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMIAH HOOPES Chiropractor 435-723-0517 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 5118842-0160) |
| 363L00000X Nurse Practitioner (Licence: UT 189510-4405) | |
| Enumeration Date | 2016-10-07 |
| Last Update Date | 2016-12-01 |