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Organization
DIVERSIFIED CHIROPRACTIC PLLC
Active
Organization
DIVERSIFIED CHIROPRACTIC PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STEVEN C SAUER D.C. (OWNER)
(303) 439-9354
Entity
Organization
Contact information
Practice address
1700 W 100TH AVE, STE 102, DENVER, CO 80260-8004
(303) 439-9354
(303) 635-1066
Mailing address
1700 W 100TH AVE, STE 102, DENVER, CO 80260-8004
(303) 439-9354
(303) 635-1066
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3800
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C803285
MEDICARE ID
CO
01
—
SAS2865
BLUE CROSS BLUE SHIELD
CO
Enumeration date
12/12/2011
Last updated
12/12/2011
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