NPI | 1780632232 |
---|---|
Entity Type | Organization |
Authorized Contact | CORY M FROGLEY Owner 801-292-9355 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 272983-1202) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: UT 4828483-1202) |
Enumeration Date | 2006-05-05 |
Last Update Date | 2008-04-20 |