Healthcare Provider Details

I. General information

NPI: 1174846836
Provider Name (Legal Business Name): DARRYL FRANCIS HOBSON D.C.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/10/2010
Last Update Date: 03/10/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6644 BIRD CLIFF WAY
LONGMONT CO
80503-8633
US

IV. Provider business mailing address

6644 BIRD CLIFF WAY
LONGMONT CO
80503-8633
US

V. Phone/Fax

Practice location:
  • Phone: 303-652-6475
  • Fax: 303-652-6477
Mailing address:
  • Phone: 303-652-6475
  • Fax: 303-652-6477

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NX0800X
TaxonomyOrthopedic Chiropractor
License Number2135
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: