Colorado Spine And Sports Clinic Llc | |
1189 S Perry St, Ste. 150, Castle Rock, CO 80104-1959 | |
(303) 241-8827 | |
(303) 660-6692 |
Full Name | Colorado Spine And Sports Clinic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 1189 S Perry St, Castle Rock, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1346596525 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | 6825 (Colorado) | Primary |
Provider Name | Matthew J Graham |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1619235314 PECOS PAC ID: 5597912592 Enrollment ID: I20120827000676 |
Mailing Address | Practice Location Address |
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Colorado Spine And Sports Clinic Llc 1189 S Perry St, Ste. 150, Castle Rock, CO 80104-1959 Ph: (303) 241-8827 | Colorado Spine And Sports Clinic Llc 1189 S Perry St, Ste. 150, Castle Rock, CO 80104-1959 Ph: (303) 241-8827 |
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