Brookstar Knee Clinic, Llc.

NPI #1689085532 in Ogden, Utah

Provider Information

NPI Number: 1689085532
Entity Type: Organization
Organization Name: Brookstar Knee Clinic, Llc.
Primary Specialty: Specialist
Enumeration Date: May 14, 2014
Last Updated: Jul 23, 2014

Practice Location

Address: 3500 HARRISON BLVD
Address 2: SUITE 200
City: Ogden
State: Utah
ZIP Code: 84403-2058
Phone: (801) 668-2010

Authorized Official

Name: DR. GAILEN E. LUNDELL, DC
Title: PRESIDENT
Phone: (801) 668-2010

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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