| NPI | 1548532740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID HARLAN FREE General Partner 801-796-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: UT 334676-1202) |
| Enumeration Date | 2012-02-02 |
| Last Update Date | 2012-02-02 |