| NPI | 1598013286 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY DAVID GIBBONS Chiropractic Physician 435-563-2514 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 6095811-1202) |
| Enumeration Date | 2012-08-28 |
| Last Update Date | 2012-08-28 |