Organization
FAMILY FOUNDATION CHIROPRACTIC PC
Active
Other names
Gonstead Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK BROOKS HENDERSON D.C. (PRESIDENT)
(801) 842-6382
Entity
Organization
Contact information
Practice address
1121 E 3900 S, STE. 222, SALT LAKE CITY, UT 84124-1214
(801) 747-0770
(801) 747-0771
Mailing address
1121 E 3900 S, STE. 222, SALT LAKE CITY, UT 84107
(801) 747-0770
(801) 747-0771
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
62621261202
UT
Other
Enumeration date
01/10/2007
Last updated
01/25/2008
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