| NPI | 1346386133 |
|---|---|
| Doing Business As | MAPLE RIDGE SPINAL PAIN CENTER PROVO |
| Entity Type | Organization |
| Authorized Contact | FRANK CLAYTON STAFFORD Doctor Clinic Operator 801-623-4740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6055471-1202) |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2020-08-22 |