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NPI Code Detail

MEDICARE: REID NELLES DC

MEDICARE: REID NELLES DC
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
1111N00000XChiropractorCHR.0007393CO

General Provider Information

NPI Number : 1811357916
Entity Type Code : Individual
Provider Name (Legal Business Name) : REID NELLES DC
Provider Business Mailing Address
First Line : 1030 JOHNSON RD STE 260
Second Line :
City : GOLDEN
State : CO
Zip : 80401-6007
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1030 JOHNSON RD STE 260
Second Line :
City : GOLDEN
State : CO
Zip : 80401-6007
Country : US
Telephone Number : 303-278-2623
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/02/2016
Last Update Date : 03/02/2016

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Directions to “ REID NELLES DC” Practice Location

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