| NPI | 1174841464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIELS JONATHAN PEDERSEN Chiropractor 303-953-1471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6453) |
| Additional Taxonomies | 111NP0017X Chiropractor, Pediatric Chiropractor (Licence: CO 6451) |
| Enumeration Date | 2010-05-11 |
| Last Update Date | 2010-05-11 |