Gonstead Family Chiropractic

NPI 1093033706 - Chiropractor - 111N00000X

NPI Details
NPI 1093033706
Enumeration Date 05/06/2010
Last Updated 05/06/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name CORALYN CORALYN
Position PRESIDENT
Phone (303) 940-7167
Fax (303) 940-7258
Practice Location
4275 HARLAN ST
WHEAT RIDGE CO, 80033-5119, US
Phone (303) 940-7167
Fax (303) 940-7258
Business Location
4275 HARLAN ST
WHEAT RIDGE CO, 80033-5119, US
Phone (303) 940-7167
Fax (303) 940-7258
Toxanomy
Taxonomy Code 111N00000X
License State Colorado
License Number 4777
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According to our database, Gonstead Family Chiropractic NPI is 1093033706, taxonomy code is 111N00000X and license number is 4777, license state is located at Colorado. Gonstead Family Chiropractic physically located at 4275 Harlan St, Wheat Ridge CO, 80033-5119. NPI Number 1033115704 has the healthcare provider type.

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1093033706 NPI number is provided on an as is basis without warranty of any kind. 1093033706 is maintained by the National Plan & Provider Enumeration System. The contents of Gonstead Family Chiropractic are for informational purposes only.