| NPI | 1225857196 |
|---|---|
| Doing Business As | HEALTHSOURCE OF NORTH PROVO |
| Entity Type | Organization |
| Authorized Contact | JOSEPH HOPKINS Owner 210-259-9741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2024-10-08 |
| Last Update Date | 2024-10-08 |