MEDICARE: AUSTIN GASPARD 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	12122	TX
2	111N00000X	Chiropractor	0007511	CO

General Provider Information

NPI Number	:	1184027583
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AUSTIN GASPARD D.C.

Provider Business Mailing Address
First Line	:	18801 E MAINSTREET STE 190
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-3477
Country	:	US
Telephone Number	:	303-841-9565
Fax Number	:

Provider Business Practice Location Address
First Line	:	18801 E MAINSTREET STE 190
Second Line	:
City	:	PARKER
State	:	CO
Zip	:	80134-3477
Country	:	US
Telephone Number	:	303-841-9565
Fax Number	:	303-841-9565

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

Provider Enumeration Date	:	09/30/2014
Last Update Date	:	07/21/2022

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Directions to “ AUSTIN GASPARD D.C.” Practice Location

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