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NPI Code Detail

MEDICARE: AURORA LIFE CHIROPRACTIC CENTER

MEDICARE: AURORA LIFE CHIROPRACTIC CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractor5777CO

General Provider Information

NPI Number : 1023293248
Entity Type Code : Organization
Provider Name (Legal Business Name) : AURORA LIFE CHIROPRACTIC CENTER
Provider Business Mailing Address
First Line : 3140 S PEORIA ST STE C
Second Line :
City : AURORA
State : CO
Zip : 80014-3155
Country : US
Telephone Number : 303-337-7755
Fax Number : 303-337-7768
Provider Business Practice Location Address
First Line : 3140 S PEORIA ST STE C
Second Line :
City : AURORA
State : CO
Zip : 80014-3155
Country : US
Telephone Number : 303-337-7755
Fax Number : 303-337-7768
Authorized Official
Title or Position : DOCTOR/OWNER
Name : DR. MICHAEL P GIBSON
Credential : DC
Telephone Number : 303-337-7755
Provider Enumeration Date : 01/07/2008
Last Update Date : 01/07/2008

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Directions to “AURORA LIFE CHIROPRACTIC CENTER ” Practice Location

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