Organization
SPINE GROUP LLC
Active
Other names
The Spine Group LLC
Organization subpart
No
Provider details
NPI number
Authorized official
WARNER M HETTICK DC (AUTHORIZED OFFICIAL)
(303) 457-0123
Entity
Organization
Contact information
Practice address
12061 TEJON ST STE 600, WESTMINSTER, CO 80234-2325
(303) 457-0123
(303) 252-4065
Mailing address
12061 TEJON ST STE 600, WESTMINSTER, CO 80234-2325
(303) 457-0123
(303) 252-4065
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
207Q00000X
Family Medicine Physician
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Enumeration date
11/18/2011
Last updated
11/09/2020
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