| NPI | 1760667901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PATRICK MELLIN Doctor 435-615-2261 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 48595617202) |
| Enumeration Date | 2008-01-07 |
| Last Update Date | 2008-01-07 |