# ADVANCED SPINAL REAHB OF GRAND JUNCTION LLC

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

## Provider details

- **NPI number:** 1447395900
- **Authorized official:** CHRISTOPHER J ANGELLO D.C. (OFFICER)
- **Authorized official phone:** (970) 248-9833

## Contact information

- **Practice address:** 2352 N 7TH ST, SUITE C, GRAND JUNCTION, CO 81501-8168
- **Practice address phone:** (970) 248-9833
- **Practice address fax:** (970) 248-9833
- **Mailing address:** 2352 N 7TH ST, SUITE C, GRAND JUNCTION, CO 81501-8168
- **Mailing address phone:** (970) 248-9833
- **Mailing address fax:** (970) 248-9833

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | — | NULL | Yes |

## Other

- **Enumeration date:** 02/21/2007
- **Last updated:** 08/22/2020