Organization
AVANT-GARDE LLC
Active
Other names
Minus 250 Degrees Cryotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
BROCK LARSON ROBERTS (MANAGING DIRECTOR)
(801) 548-3417
Entity
Organization
Contact information
Practice address
293 E 930 S, OREM, UT 84058-5001
(801) 548-3417
Mailing address
293 E 930 S, OREM, UT 84058-5001
(801) 548-3417
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
11/07/2017
Last updated
11/07/2017
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