NPI | 1639350341 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN JOSEPH COLARUSSO Owner 801-878-3645 |
Organization Subpart ? | Yes |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 5072634-1202) |
Enumeration Date | 2007-11-21 |
Last Update Date | 2008-05-06 |