Dynactic Chiropractic Llc | |
630 Plaza Dr Ste 105, Highlands Ranch, CO 80129-2750 | |
(303) 471-9355 | |
Not Available |
Full Name | Dynactic Chiropractic Llc |
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Type | Facility |
Speciality | Chiropractor |
Location | 630 Plaza Dr Ste 105, Highlands Ranch, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1699392076 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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111N00000X | Chiropractor | (* (Not Available)) | Primary |
Provider Name | Braden Douglas O'dell |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1245880137 PECOS PAC ID: 4385083120 Enrollment ID: I20240412003288 |
Mailing Address | Practice Location Address |
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Dynactic Chiropractic Llc 630 Plaza Dr Ste 105, Highlands Ranch, CO 80129-2750 Ph: (303) 471-9355 | Dynactic Chiropractic Llc 630 Plaza Dr Ste 105, Highlands Ranch, CO 80129-2750 Ph: (303) 471-9355 |
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