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NPI Code Detail

MEDICARE: DR. HOLLY REDE GEERSEN D.C.

MEDICARE:  DR. HOLLY REDE GEERSEN  D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111NR0400XRehabilitation Chiropractor5527CO

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
111513075OTHERCOCAQH PIN
27264720OTHERCOAETNA PIN

General Provider Information

NPI Number : 1265563274
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. HOLLY REDE GEERSEN D.C.
Provider Business Mailing Address
First Line : 4024 S PARKER RD
Second Line :
City : AURORA
State : CO
Zip : 80014-4131
Country : US
Telephone Number : 303-627-7995
Fax Number :
Provider Business Practice Location Address
First Line : 4024 S PARKER RD
Second Line :
City : AURORA
State : CO
Zip : 80014-4131
Country : US
Telephone Number : 303-627-7995
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2007
Last Update Date : 07/08/2007

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Directions to “ DR. HOLLY REDE GEERSEN D.C.” Practice Location

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