| NPI | 1730382565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL J. NELSON President 303-425-4825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: CO 3683) |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3400) |
| Enumeration Date | 2007-06-08 |
| Last Update Date | 2007-12-03 |