| NPI | 1881711349 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FAXON D MOULDER Chiropractor 801-796-7961 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 2774319-1202) |
| Enumeration Date | 2007-03-22 |
| Last Update Date | 2014-07-18 |