Healthcare Provider Details
I. General information
NPI: 1184849341
Provider Name (Legal Business Name): JULIE ANN MARCHIOL D.C., FIAMA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 04/14/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
200 QUEBEC ST BLDG 800, STE 107
DENVER CO
80230-7144
US
IV. Provider business mailing address
200 QUEBEC ST BLDG 800, STE 107
DENVER CO
80230-7144
US
V. Phone/Fax
- Phone: 303-343-8800
- Fax: 303-343-8806
- Phone: 303-343-8800
- Fax: 303-343-8806
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111NR0400X |
| Taxonomy | Rehabilitation Chiropractor |
| License Number | 4616 |
| License Number State | CO |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: