NPI | 1265581706 |
---|---|
Doing Business As | GONSTEAD FAMILY CHIROPRACTIC |
Entity Type | Organization |
Authorized Contact | KIRK BROOKS HENDERSON President 801-842-6382 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 62621261202) |
Enumeration Date | 2007-01-10 |
Last Update Date | 2008-01-25 |