# OTTERSBERG CHIROPRACTIC PC

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

## Provider details

- **NPI number:** 1558561225
- **Authorized official:** DR. WILLIAM J OTTERSBERG JR. D.C. (PRESIDENT)
- **Authorized official phone:** (719) 269-1020

## Contact information

- **Practice address:** 3055 E HWY 50, SUITE C, CANON CITY, CO 81212-2775
- **Practice address phone:** (719) 269-1020
- **Mailing address:** 3055 E HWY 50, SUITE C, CANON CITY, CO 81212-2775
- **Mailing address phone:** (719) 269-1020

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 2420 | CO | Yes |

## Other

- **Enumeration date:** 07/20/2007
- **Last updated:** 12/04/2007