Roger D Wallis Dcpc | |
419 Denver Ave, Fort Lupton, CO 80621-1823 | |
(303) 857-6344 | |
(303) 857-6250 |
Full Name | Roger D Wallis Dcpc |
---|---|
Type | Facility |
Speciality | Chiropractor |
Location | 419 Denver Ave, Fort Lupton, Colorado |
Accepts Medicare Assignments | Medicare enrolled and accepts medicare insurance. Providers at this facility may prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1083894489 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 1509 (Colorado) | Primary |
Provider Name | Roger D. Wallis |
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Provider Type | Practitioner - Chiropractic |
Provider Identifiers | NPI Number: 1063615243 PECOS PAC ID: 9638069305 Enrollment ID: I20120209000731 |
Mailing Address | Practice Location Address |
---|---|
Roger D Wallis Dcpc 419 Denver Ave, Fort Lupton, CO 80621-1823 Ph: (303) 857-6344 | Roger D Wallis Dcpc 419 Denver Ave, Fort Lupton, CO 80621-1823 Ph: (303) 857-6344 |
Terry W Williams Dc Pc Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 331 Park Avenue, Fort Lupton, CO 80621 Phone: 303-857-6633 Fax: 303-857-4992 | |
Dr. Roger D. Wallis, P.C. Chiropractor Medicare: May Accept Medicare Assignments Practice Location: 419 Denver Ave, Fort Lupton, CO 80621 Phone: 303-857-6344 | |
Dr. Michael P Simone, DC Chiropractor Medicare: Accepting Medicare Assignments Practice Location: 1111 1st St, Fort Lupton, CO 80621 Phone: 303-833-2332 | |
Dr. Terry Wade Williams, DC Chiropractor Medicare: Not Enrolled in Medicare Practice Location: 331 Park Ave, Fort Lupton, CO 80621 Phone: 303-857-6633 Fax: 303-857-4992 |