| NPI | 1669415329 |
|---|---|
| Former Legal Business Name | HEALTHSOURCE CHIROPRACTIC OF SOUTH OGDEN |
| Entity Type | Organization |
| Authorized Contact | MARK WHEELER Chiropractor 801-621-1667 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 983) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2014-12-02 |