| NPI | 1255768438 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM RICHARD IDSINGA Owner/Operator 801-894-9633 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 8530109-1202) |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2019-12-27 |