Individual
DR. THEODORE MARC LONG-ISHIKAWA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
331 14TH STREET, SUITE 208, DENVER, CO 80202
(720) 956-0156
(720) 956-0157
Mailing address
50 S FEDERAL BLVD, DENVER, CO 80219
(303) 922-2977
(303) 922-2044
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5286
CO
Other
Enumeration date
07/24/2006
Last updated
07/08/2007
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