| NPI | 1093245003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY E PARK Chiropractic Physician 801-292-2299 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 174995-1202) |
| Enumeration Date | 2017-06-13 |
| Last Update Date | 2022-07-21 |