| NPI | 1174057277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRETT SPIERS LUDDINGTON Clinic Director 801-981-8795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: UT 1686321205) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 48060411202) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |