| NPI | 1255844239 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHANIE A HOGLUND Owner 435-232-0732 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NP0017X Chiropractor Pediatric Chiropractor |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 65098601202) |
| Enumeration Date | 2017-11-13 |
| Last Update Date | 2022-08-04 |