Healthcare Provider Details

I. General information

NPI: 1447408356
Provider Name (Legal Business Name): JOHN TORTORA D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/04/2008
Last Update Date: 09/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3333 E. BAYAUD AVE. #401
DENVER CO
80209
US

IV. Provider business mailing address

3333 E. BAYAUD AVE. #401
DENVER CO
80209
US

V. Phone/Fax

Practice location:
  • Phone: 303-514-3948
  • Fax:
Mailing address:
  • Phone: 303-514-3948
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN0400X
TaxonomyNeurology Chiropractor
License Number5604
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: