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Organization
BACK COUNTRY CHIROPRACTIC INC.
Active
Organization
BACK COUNTRY CHIROPRACTIC INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARRY A WARNER D.C. FIAMA (OWNER)
(303) 980-1378
Entity
Organization
Contact information
Practice address
10815 W JEWELL AVE STE P, LAKEWOOD, CO 80232-6268
(303) 980-1378
(303) 980-1379
Mailing address
10815 W JEWELL AVE STE P, LAKEWOOD, CO 80232-6268
(303) 980-1378
(303) 980-1379
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COB4074
PTAN
CO
Enumeration date
11/16/2007
Last updated
08/22/2008
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