# DURANGO CHIROPRACTIC CLINIC

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

## Provider details

- **NPI number:** 1528338720
- **Authorized official:** DR. DUSTIN EUGENE RIDGWAY D.C. (OWNER/PRESIDENT)
- **Authorized official phone:** (970) 247-5519

## Contact information

- **Practice address:** 3473 MAIN AVE STE 15, DURANGO, CO 81301-4040
- **Practice address phone:** (970) 247-5519
- **Practice address fax:** (970) 382-8457
- **Mailing address:** 3473 MAIN AVE STE 15, DURANGO, CO 81301-4040
- **Mailing address phone:** (970) 247-5519
- **Mailing address fax:** (970) 382-8457

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | CHR-6720 | CO | Yes |

## Other

- **Enumeration date:** 01/04/2012
- **Last updated:** 02/01/2012
