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 |