Healthcare Provider Details

I. General information

NPI: 1770306102
Provider Name (Legal Business Name): MARILYN SVIHOVEC DC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2024
Last Update Date: 12/03/2024
Certification Date: 12/03/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

21094 WOODSIDE LN
PARKER CO
80138-7192
US

IV. Provider business mailing address

21094 WOODSIDE LN
PARKER CO
80138-7192
US

V. Phone/Fax

Practice location:
  • Phone: 303-587-3377
  • Fax:
Mailing address:
  • Phone: 603-828-1227
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111NN1001X
TaxonomyNutrition Chiropractor
License NumberCHR0008177
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: