Gonstead Chiropractic
Clinic/Center in Salt Lake City, UT. Organization (NPI-2).
NPI number1285016972
StatusActive
Last updated in NPPESApr 7, 2016
Details
- NPI
- 1285016972
- Entity type
- Organization (NPI-2)
- Legal business name
- Gonstead Chiropractic
- Organization subpart
- No
- Enumeration date
- Jun 18, 2015
- Last updated
- Apr 7, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261Q00000X | Clinic/Center | 5309691-1202 | UT | Yes |
Practice location
1154 S 300 WSuite C
Salt Lake City, UT 84101-3053
Phone 801-425-2065
Mailing address
1154 S 300 WSuite C
Salt Lake City, UT 84101-3053
Phone 801-425-2065
Authorized official
Spencer D Cheney
Manager/Member
8014252065
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