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NPI Code Detail

MEDICARE: CHIROPRACTIC AND ACUPUNCTURE CLINIC P.C.

MEDICARE: CHIROPRACTIC AND ACUPUNCTURE CLINIC P.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
1111N00000XChiropractor

General Provider Information

NPI Number : 1215120423
Entity Type Code : Organization
Provider Name (Legal Business Name) : CHIROPRACTIC AND ACUPUNCTURE CLINIC P.C.
Provider Business Mailing Address
First Line : 755 NORTH AVE
Second Line : #D
City : GRAND JUNCTION
State : CO
Zip : 81501-3112
Country : US
Telephone Number : 970-241-2400
Fax Number : 970-241-3786
Provider Business Practice Location Address
First Line : 755 NORTH AVE
Second Line : #D
City : GRAND JUNCTION
State : CO
Zip : 81501-3112
Country : US
Telephone Number : 970-241-2400
Fax Number : 970-274-3786
Authorized Official
Title or Position : OWNER/DOCTOR
Name : MS. CHERYL L. DUREE
Credential : D.C.
Telephone Number : 970-241-2400
Provider Enumeration Date : 08/21/2007
Last Update Date : 05/29/2014

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