DEREK WADE STICKLER

PUEBLO, CO
NPI1629326905
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: CO  6888)
Additional Taxonomies111NR0400X 
(Licence: CO  6888)
Enumeration Date2012-08-17
Last Update Date2018-04-11
Business Address
DEREK WADE STICKLER D.C.
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 254-394-0836
Mailing Address
DEREK WADE STICKLER D.C.
2447 S PRAIRIE AVE
PUEBLO, CO 81005-2886
Phone number: 254-394-0836