| Fsp Family Wellness Center | |
|
3560 S Bannock St, Englewood, CO 80110-3626 | |
| (303) 797-8850 | |
| (303) 797-1378 |
| Full Name | Fsp Family Wellness Center |
|---|---|
| Type | Facility |
| Speciality | Chiropractor |
| Location | 3560 S Bannock St, Englewood, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063740397 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 111N00000X | Chiropractor | 3478 (Colorado) | Primary |
| Provider Name | Gregory W Mortimer |
|---|---|
| Provider Type | Practitioner - Chiropractic |
| Provider Identifiers | NPI Number: 1376746149 PECOS PAC ID: 7416970637 Enrollment ID: I20060127000821 |
| Mailing Address | Practice Location Address |
|---|---|
| Fsp Family Wellness Center 3560 S Bannock St, Englewood, CO 80110-3626 Ph: (303) 797-8850 | Fsp Family Wellness Center 3560 S Bannock St, Englewood, CO 80110-3626 Ph: (303) 797-8850 |
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Forgive Smile Play Llp Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 3560 S Bannock St, Englewood, CO 80110 Phone: 303-797-8850 Fax: 303-797-1378 | |
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