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Individual
DR. CHAD ANONSON
Active
Individual
DR. CHAD ANONSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6464
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COA109097
MEDICARE PTAN
CO
01
—
COA109098
MEDICARE PTAN
CO
Enumeration date
01/22/2010
Last updated
05/06/2015
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