| NPI | 1851706329 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY S CLARK Owner/Chiropractic Physician 801-374-2774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 1668441202) |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2014-06-24 |