| NPI | 1114225018 |
|---|---|
| Former Legal Business Name | COLORADO CHIROPRACTIC CENTER |
| Entity Type | Organization |
| Authorized Contact | KEVIN WAYNE SCREEN Owner 209-632-3662 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CA 23715) |
| Enumeration Date | 2011-03-02 |
| Last Update Date | 2011-03-02 |