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NPI Code Detail

MEDICARE: BETH BOYDSTON D.C.

MEDICARE:   BETH  BOYDSTON  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
1111N00000XChiropractor3078CO

General Provider Information

NPI Number : 1326232679
Entity Type Code : Individual
Provider Name (Legal Business Name) : BETH BOYDSTON D.C.
Provider Business Mailing Address
First Line : 7167 MURDOCH DR
Second Line :
City : CO SPGS
State : CO
Zip : 80920-3108
Country : US
Telephone Number : 719-528-1345
Fax Number :
Provider Business Practice Location Address
First Line : 7167 MURDOCH DR
Second Line :
City : CO SPGS
State : CO
Zip : 80920-3108
Country : US
Telephone Number : 719-528-1345
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/29/2007
Last Update Date : 08/29/2007

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Directions to “ BETH BOYDSTON D.C.” Practice Location

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