| NPI | 1528338720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DUSTIN EUGENE RIDGWAY Owner/President 970-247-5519 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO CHR-6720) |
| Enumeration Date | 2012-01-04 |
| Last Update Date | 2012-02-01 |