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General NPI Number Information
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NPI Number | 1316205222
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Entity Type | Organization
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Legal Business Name | NORTH DENVER BACK AND NECK PAIN CLINIC
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Dates
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Enumeration Date | 04/27/2012
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 8778 WOLFF CT STE 100
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City | WESTMINSTER
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State | CO
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Zip | 80031-6901
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Country | US
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Telephone | 303-460-0867
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Fax |
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Provider Business Mailing Address
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Address Line | 8778 WOLFF CT STE 100
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City | WESTMINSTER
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State | CO
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Zip | 80031-6901
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Country | US
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Telephone | 303-460-0867
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DALE F BAIRD JR.
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Credential | DC
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Telephone | 303-460-0867
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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