| NPI | 1437303203 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN DAVID BROCKWAY Executive, Owner 720-889-1659 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 6392) |
| Additional Taxonomies | 261QH0100X Clinic/Center Health Service (Licence: CO 6283) |
| Enumeration Date | 2008-11-06 |
| Last Update Date | 2010-02-24 |