| NPI | 1699773671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | COREY J SONDRUP President 801-476-1752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NI0900X Chiropractor, Internist (Licence: UT 96317081-1202) |
| Enumeration Date | 2005-07-13 |
| Last Update Date | 2017-05-12 |