| NPI | 1265632319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VELOY K. COOK Manager 801-798-6558 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NR0200X Chiropractor, Radiology (Licence: UT 51284901202) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2007-07-18 |