| NPI | 1972804755 |
|---|---|
| Doing Business As | BALANCED SPINAL CARE |
| Entity Type | Organization |
| Authorized Contact | BRENT DAVID NOORDA Managing Partner 435-688-2292 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302R00000X Health Maintenance Organization (Licence: UT 7443716-1202) |
| Enumeration Date | 2010-11-09 |
| Last Update Date | 2011-02-16 |