Organization
CONRAD CHIROPRACTIC & WELLNESS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANE R. CONRAD D.C. (OWNER/MANAGER)
(719) 596-8700
Entity
Organization
Contact information
Practice address
5962 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923-3579
(719) 596-8700
(719) 596-8704
Mailing address
5962 STETSON HILLS BLVD, COLORADO SPRINGS, CO 80923-3579
(719) 596-8700
(719) 596-8704
Taxonomy
Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
CHR-5831
CO
Other
Enumeration date
09/25/2009
Last updated
09/25/2009
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