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Organization
SUMMIT CHIROPRACTIC & REHABILITATION, P.C.
Active
Organization
SUMMIT CHIROPRACTIC & REHABILITATION, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IVO F WAERLOP DC,DABCN, CCSP, CCRD (PRESIDENT/DR.)
(970) 513-9234
Entity
Organization
Contact information
Practice address
114 VILLAGE PLACE, STE 302, DILLON, CO 80435-0300
(970) 513-9234
(970) 513-9238
Mailing address
PO BOX 300, 114 VILLAGE PLACE STE 302, DILLON, CO 80435-0300
(970) 513-9234
(970) 513-9238
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2688
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1013041896
NPI
CO
01
—
1154455939
NPI
CO
Enumeration date
07/15/2009
Last updated
07/15/2009
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