Healthcare Provider Details

I. General information

NPI: 1013118058
Provider Name (Legal Business Name): CHRISTOPHER ANDREW PELLOW DC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2007
Last Update Date: 01/02/2024
Certification Date: 01/02/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6825 S GALENA ST STE 200
CENTENNIAL CO
80112-3630
US

IV. Provider business mailing address

6825 S GALENA ST STE 200
CENTENNIAL CO
80112-3630
US

V. Phone/Fax

Practice location:
  • Phone: 303-741-0990
  • Fax: 303-741-0991
Mailing address:
  • Phone: 303-741-0990
  • Fax: 303-741-0991

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCHR.0005073
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: