Organization
AWAKENING ACUPUCTURE & HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
STUART DANIEL DIMSON LAC D.O.M. (OWNER)
(303) 469-0353
Entity
Organization
Contact information
Practice address
1140 US HIGHWAY 287 UNIT 100, BROOMFIELD, CO 80020-7076
(303) 469-1066
Mailing address
1140 US HIGHWAY 287 UNIT 100, BROOMFIELD, CO 80020-7076
(303) 469-1066
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
1333
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
170443696
NPI
CO
Enumeration date
09/26/2008
Last updated
09/26/2008
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