Healthcare Provider Details

I. General information

NPI: 1801051420
Provider Name (Legal Business Name): DRY CREEK CHIROPRACTIC CENTER, PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2008
Last Update Date: 06/21/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5031 S ULSTER, #130
DENVER CO
80237
US

IV. Provider business mailing address

5031 S ULSTER ST STE 130
DENVER CO
80237-2806
US

V. Phone/Fax

Practice location:
  • Phone: 303-209-0022
  • Fax: 303-290-9476
Mailing address:
  • Phone: 303-290-0022
  • Fax: 303-290-9476

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number1426
License Number StateCO

VIII. Authorized Official

Name: DR. STEVEN RAY TROEGER
Title or Position: PRESIDENT/OWNER
Credential: D.C.
Phone: 303-290-0022