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Organization
BOVADILLA CHIROPRACTIC CLINIC INC
Active
Organization
BOVADILLA CHIROPRACTIC CLINIC INC
Active
Other names
Bovadilla Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BOVADILLA D.C. (CHIROPRACTOR)
(918) 850-6000
Entity
Organization
Contact information
Practice address
4045 WADSWORTH BLVD STE 307, WHEAT RIDGE, CO 80033-4626
(303) 647-8131
(918) 770-8208
Mailing address
4045 WADSWORTH BLVD STE 307, WHEAT RIDGE, CO 80033-4626
(303) 647-8131
(918) 493-1773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417975897
NPI OF DOCTOR
OK
Enumeration date
12/18/2006
Last updated
10/05/2022
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