| NPI | 1679804322 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENJAMIN RUSSELL GUNN Owner 801-492-8188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7540495-1202) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-08-31 |