Healthcare Provider Details

I. General information

NPI: 1639278922
Provider Name (Legal Business Name): JOYCE K MULLER DC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 04/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

402 W MAIN ST STE 135
RANGELY CO
81648-2408
US

IV. Provider business mailing address

PO BOX 666
RANGELY CO
81648-0666
US

V. Phone/Fax

Practice location:
  • Phone: 970-675-2273
  • Fax: 970-675-2273
Mailing address:
  • Phone: 970-675-2273
  • Fax: 970-675-2273

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License NumberCO4463
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: