NPI | 1558244897 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN T KEATON Physician; Owner 801-913-3390 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
Enumeration Date | 2025-07-25 |
Last Update Date | 2025-09-29 |