MEDICARE: DR. ADAM TOSO D.C.

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
1	111N00000X	Chiropractor	6411	CO

General Provider Information

NPI Number	:	1043418734
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ADAM TOSO D.C.

Provider Business Mailing Address
First Line	:	13780 E. RICE PLACE
Second Line	:	105
City	:	AURORA
State	:	CO
Zip	:	80015-1257
Country	:	US
Telephone Number	:	720-951-4622
Fax Number	:

Provider Business Practice Location Address
First Line	:	13780 E RICE PL
Second Line	:	105
City	:	AURORA
State	:	CO
Zip	:	80015-1257
Country	:	US
Telephone Number	:	720-951-4622
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2007
Last Update Date	:	05/17/2010

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