MEDICARE: DR. TIMOTHY PRICE LLC

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	CO6263	CO

General Provider Information

NPI Number	:	1184018301
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DR. TIMOTHY PRICE LLC

Provider Business Mailing Address
First Line	:	870 S COLORADO BLVD # 200
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-2080
Country	:	US
Telephone Number	:	303-357-9355
Fax Number	:

Provider Business Practice Location Address
First Line	:	870 S COLORADO BLVD # 200
Second Line	:
City	:	GLENDALE
State	:	CO
Zip	:	80246-2080
Country	:	US
Telephone Number	:	303-357-9355
Fax Number	:

Authorized Official
Title or Position	:	CHIROPRACTOR
Name	:	DR. TIMOTHY PRICE
Credential	:	DC
Telephone Number	:	303-357-9355

Provider Enumeration Date	:	03/25/2015
Last Update Date	:	03/25/2015

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