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Organization
FRONTIER CHIROPRACTIC
Active
Organization
FRONTIER CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAHVEH ALIZADEH (OWNER)
(970) 402-5639
Entity
Organization
Contact information
Practice address
207 W 17TH ST, CHEYENNE, WY 82001-4411
(970) 402-5639
Mailing address
734 TERRA VIEW CIR, FORT COLLINS, CO 80525-9318
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
723
WY
305R00000X
Preferred Provider Organization
723
WY
Other
Enumeration date
06/19/2012
Last updated
06/22/2012
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