| NPI | 1275664948 |
|---|---|
| Doing Business As | MAPLE RIDGE SPINAL PAIN CENTER--SALT LAKE |
| Entity Type | Organization |
| Authorized Contact | DIANNE WYGANT Owner 801-301-0351 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2007-10-16 |