| |
135 Clear Creek St, Blackhawk, CO 80422 | |
(303) 582-9205 | |
(303) 582-9270 |
Full Name | |
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Type | Facility |
Speciality | Chiropractor |
Location | 135 Clear Creek St, Blackhawk, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1548320906 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 4843 (Colorado) | Primary |
Mailing Address | Practice Location Address |
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Po Box 418, Blackhawk, CO 80422 Ph: (303) 582-9205 | 135 Clear Creek St, Blackhawk, CO 80422 Ph: (303) 582-9205 |