Organization
OPTIMAL HEALTH DYNAMICS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COREY J SONDRUP DC (PRESIDENT)
(801) 476-1752
Entity
Organization
Contact information
Practice address
1117 COUNTRY HILLS DR, SUITE 2, OGDEN, UT 84403-2559
(801) 476-1752
(801) 476-3075
Mailing address
1117 COUNTRY HILLS DR, SUITE 2, OGDEN, UT 84403-2559
(801) 476-1752
(801) 476-3075
Taxonomy
Speciality
Code
Description
License number
State
111NI0900X
Internist Chiropractor
Primary
96317081-1202
UT
Other
Enumeration date
07/13/2005
Last updated
05/12/2017
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