NPI | 1740588441 |
---|---|
Entity Type | Organization |
Authorized Contact | CARL GORDON LESUEUR President 801-553-9691 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 7416390-1202) |
Enumeration Date | 2011-03-03 |
Last Update Date | 2011-03-03 |