| NPI | 1558404707 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BYRON JAY RAITZ President 970-290-1049 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NN0400X Chiropractor, Neurology (Licence: CO 5478) |
| Enumeration Date | 2007-02-15 |
| Last Update Date | 2013-03-27 |