| NPI | 1194026914 |
|---|---|
| Doing Business As | GREG W. KOFFORD, DC |
| Entity Type | Organization |
| Authorized Contact | GREG W KOFFORD Owner 801-756-8833 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: UT 363413 1202) |
| Enumeration Date | 2010-11-10 |
| Last Update Date | 2010-11-10 |