| NPI | 1427432459 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA N FIDLER Doctor Of Chiropractic 435-915-6032 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 9452589-1202) |
| Additional Taxonomies | 111NR0400X Chiropractor, Rehabilitation (Licence: UT 9452589-1202) |
| 111NS0005X Chiropractor, Sports Physician (Licence: UT 9452589-1202) | |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |