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Organization
FOUNTAIN CREEK CHIROPRACTIC
Active
Organization
FOUNTAIN CREEK CHIROPRACTIC
Active
Other names
Ute Pass Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RUSSELL WILEY D.C. (CHIROPRACTOR)
(719) 687-6683
Entity
Organization
Contact information
Practice address
18401 HIGHWAY 24 STE 120, WOODLAND PARK, CO 80863-9036
(719) 687-6683
(888) 972-5776
Mailing address
18401 HIGHWAY 24 STE 120, WOODLAND PARK, CO 80863-9036
(719) 687-6683
(888) 972-5776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5709
CO
Other
Enumeration date
08/22/2007
Last updated
05/28/2021
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