| NPI | 1972868388 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR LOUIS TEBBS Chiropractor 435-635-4688 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NX0800X Chiropractor, Orthopedic (Licence: UT 1611631202) |
| Enumeration Date | 2012-07-11 |
| Last Update Date | 2012-07-11 |