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NPI Code Detail

MEDICARE: WOMB FOR GROWTH

MEDICARE: WOMB FOR GROWTH
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
1111NP0017XPediatric Chiropractor5250CO
2111N00000XChiropractor5250CO

General Provider Information

NPI Number : 1427328020
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOMB FOR GROWTH
Provider Business Mailing Address
First Line : 2850 MCCLELLAND DR STE 3600
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2587
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2850 MCCLELLAND DR STE 3600
Second Line :
City : FORT COLLINS
State : CO
Zip : 80525-2587
Country : US
Telephone Number : 970-224-2912
Fax Number :
Authorized Official
Title or Position : OWNER
Name : DR. COLLEEN MICHELE HOLLAND
Credential : D.C.
Telephone Number : 970-224-2912
Provider Enumeration Date : 01/12/2012
Last Update Date : 01/12/2012

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Directions to “WOMB FOR GROWTH ” Practice Location

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