MEDICARE: RICHARD WALFORD DC, PC

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

General Provider Information

NPI Number	:	1356649230
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RICHARD WALFORD DC, PC

Provider Business Mailing Address
First Line	:	1410 S 21ST ST
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-4204
Country	:	US
Telephone Number	:	719-632-4225
Fax Number	:	719-632-3732

Provider Business Practice Location Address
First Line	:	1410 S. 21ST STREET
Second Line	:
City	:	COLORADO SPRINGS
State	:	CO
Zip	:	80904-4204
Country	:	US
Telephone Number	:	719-632-4225
Fax Number	:	719-632-3732

Authorized Official
Title or Position	:	OWNER
Name	:	TIMOTHY A CHRISTOPHERSON
Credential	:	DC
Telephone Number	:	719-632-4225

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	10/02/2025

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