MEDICARE: JEFFRY T PARKER 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	2329	CO

General Provider Information

NPI Number	:	1821231226
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JEFFRY T PARKER DC PC

Provider Business Mailing Address
First Line	:	6825 E HAMPDEN AVE
Second Line	:	SUITE 100
City	:	DENVER
State	:	CO
Zip	:	80224-3029
Country	:	US
Telephone Number	:	303-758-0224
Fax Number	:	303-758-2633

Provider Business Practice Location Address
First Line	:	6825 E HAMPDEN AVE
Second Line	:	SUITE 100
City	:	DENVER
State	:	CO
Zip	:	80224-3029
Country	:	US
Telephone Number	:	303-758-0224
Fax Number	:	303-758-2633

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JEFFRY T PARKER
Credential	:	DC
Telephone Number	:	303-758-0224

Provider Enumeration Date	:	04/14/2009
Last Update Date	:	04/14/2009

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