| NPI | 1487928222 |
|---|---|
| Doing Business As | HOLLADAY PHYSICAL MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRUCE VAN GUNDERSEN President 801-272-8471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor Orthopedic (Licence: UT 161820-1202) |
| Enumeration Date | 2012-02-24 |
| Last Update Date | 2012-02-24 |