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NPI Code Detail

MEDICARE: RYAN DEMONICO DC

MEDICARE:   RYAN  DEMONICO  DC
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
1111N00000XChiropractor0008493CO

General Provider Information

NPI Number : 1528712262
Entity Type Code : Individual
Provider Name (Legal Business Name) : RYAN DEMONICO DC
Provider Business Mailing Address
First Line : 1075 S BOULDER RD STE 235
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2562
Country : US
Telephone Number : 720-379-7255
Fax Number : 720-524-3012
Provider Business Practice Location Address
First Line : 1075 S BOULDER RD STE 235
Second Line :
City : LOUISVILLE
State : CO
Zip : 80027-2562
Country : US
Telephone Number : 720-379-7255
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2022
Last Update Date : 02/11/2022

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Directions to “ RYAN DEMONICO DC” Practice Location

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