NPI | 1134375751 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY ROSQUIST President 801-676-8770 |
Organization Subpart ? | No |
Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: UT 174224-1202) |
Enumeration Date | 2008-08-14 |
Last Update Date | 2008-08-27 |