NPI | 1609290311 |
---|---|
Entity Type | Organization |
Authorized Contact | DERRICK S. ROBINSON President 435-635-4688 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 88923081202) |
Enumeration Date | 2014-02-17 |
Last Update Date | 2014-05-30 |