NPI | 1578939716 |
---|---|
Entity Type | Organization |
Authorized Contact | ADAM EARL ANDERSON President 801-763-8813 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 4996264-1201) |
Enumeration Date | 2015-08-11 |
Last Update Date | 2015-08-11 |