| NPI | 1144598160 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS J TERRY Clinic Manager 303-912-3596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO 17008) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO CHR-1561) |
| Enumeration Date | 2011-12-05 |
| Last Update Date | 2011-12-05 |