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Organization
COLORADO SPINE AND SPORTS CLINIC LLC
Active
Organization
COLORADO SPINE AND SPORTS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JAMES GRAHAM D.C. (OWNER)
(303) 688-8855
Entity
Organization
Contact information
Practice address
1189 S PERRY ST, STE. 150, CASTLE ROCK, CO 80104-1959
(303) 241-8827
(303) 660-6692
Mailing address
1189 S PERRY ST, STE. 150, CASTLE ROCK, CO 80104-1959
(303) 241-8827
(303) 660-6692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6825
CO
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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