| NPI | 1962429670 |
|---|---|
| Doing Business As | ADVANCED TECHNOLOGY SPINAL CENTER |
| Entity Type | Organization |
| Authorized Contact | JERRY EUGENE PARK Owner 801-298-7330 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: UT 174995-1202) |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2020-08-22 |