Organization
FOUNTAIN CHIROPRACTIC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ARNOLDO A MORAN DC (CEO & CO-OWNER)
(719) 799-6555
Entity
Organization
Contact information
Practice address
470 N SANTA FE AVE, FOUNTAIN, CO 80817-1742
(719) 799-6555
Mailing address
470 N SANTA FE AVE, FOUNTAIN, CO 80817-1742
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6421
CO
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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