| NPI | 1659641827 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID PACK President 801-245-9010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: OH 1305) |
| Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: OH 1305) |
| Enumeration Date | 2012-01-05 |
| Last Update Date | 2017-02-08 |