| NPI | 1407289838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN M POULOS Owner/Operator 435-868-8202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 8572868-1202) |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2013-08-21 |