NPI | 1417042474 |
---|---|
Entity Type | Organization |
Authorized Contact | BETTY JANE FAIRCHILD Owner/Office Manager 801-653-2800 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 63251540160) |
Enumeration Date | 2006-10-04 |
Last Update Date | 2020-08-22 |