Tara Jennifer Bonvillian DC

NPI 1245452838 - Chiropractor - 111N00000X

NPI Details
NPI 1245452838
Gender Female
Enumeration Date 05/03/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
3005 47TH STREET, SUITE F-2
BOULDER CO, 80301, US
Phone (303) 440-0979
Fax (303) 440-0993
Business Location
3005 47TH STREET, SUITE F-2
BOULDER CO, 80301, US
Phone (303) 440-0979
Fax (303) 440-0993
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 5423
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According to our database, Mrs. Tara Jennifer Bonvillian DC NPI is 1245452838, taxonomy code is 111N00000X and license number is 5423, license state is located at Colorado. Tara Jennifer Bonvillian DC physically located at 3005 47th Street, Suite F-2, Boulder CO, 80301. NPI Number Tara Jennifer Bonvillian DC has the Individual type.

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1245452838 NPI number is provided on an as is basis without warranty of any kind. 1245452838 is maintained by the National Plan & Provider Enumeration System. The contents of Tara Jennifer Bonvillian DC are for informational purposes only.