# WHITE CRANE ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437647864
- **Authorized official:** MR. ZACH JAMES GRAY M.AC.O.M.,L.AC (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (719) 248-4820

## Contact information

- **Practice address:** 2701 N ELIZABETH ST, PUEBLO, CO 81003-3643
- **Practice address phone:** (719) 248-4820
- **Mailing address:** 2701 N ELIZABETH ST, PUEBLO, CO 81003-3643
- **Mailing address phone:** (719) 248-4820

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 0001156 | CO | Yes |

## Other

- **Enumeration date:** 05/01/2018
- **Last updated:** 05/01/2018
