NPI | 1609102250 |
---|---|
Entity Type | Organization |
Authorized Contact | STACIE MARIE GILLESPIE Tca 303-425-9557 |
Organization Subpart ? | No |
Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 4710) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 5883) |
Enumeration Date | 2009-11-02 |
Last Update Date | 2010-04-19 |