Organization
BROOKSTAR KNEE CLINIC, LLC.
Active
Other names
Brookstar Knee Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GAILEN E. LUNDELL DC (PRESIDENT)
(801) 668-2010
Entity
Organization
Contact information
Practice address
3500 HARRISON BLVD, SUITE 200, OGDEN, UT 84403-2058
(801) 668-2010
(801) 627-2228
Mailing address
3500 HARRISON BLVD, SUITE 200, OGDEN, UT 84403
(801) 668-2010
(801) 627-2228
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
168999-1205
UT
Other
Enumeration date
05/14/2014
Last updated
07/23/2014
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