| |
54 Garden Ctr, Broomfield, CO 80020-1730 | |
(303) 466-3232 | |
(303) 466-0110 |
Full Name | |
---|---|
Type | Facility |
Speciality | General Practice |
Location | 54 Garden Ctr, Broomfield, Colorado |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851569065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | CO4326 (Colorado) | Secondary |
111N00000X | Chiropractor | CO6373 (Colorado) | Secondary |
208D00000X | General Practice | APN0991909-NP (Colorado) | Primary |
Mailing Address | Practice Location Address |
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54 Garden Ctr, Broomfield, CO 80020-1730 Ph: (303) 466-3232 | 54 Garden Ctr, Broomfield, CO 80020-1730 Ph: (303) 466-3232 |