| NPI | 1497993315 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DERRICK L STANBRIDGE President 801-475-6800 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 4804147-1202) |
| Enumeration Date | 2009-01-30 |
| Last Update Date | 2010-03-08 |