| NPI | 1548329535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAILEN E LUNDELL Physi CIO N 801-627-2225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 156164-1202) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2020-08-22 |