NPI | 1740553510 |
---|---|
Entity Type | Organization |
Authorized Contact | STEVEN SCOTT GARVERT Owner/Chiropractor 435-792-9400 |
Organization Subpart ? | No |
Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: UT 4788778-1202) |
Enumeration Date | 2012-02-09 |
Last Update Date | 2012-03-29 |