Organization
GONSTEAD FAMILY CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CORALYN WALL (PRESIDENT)
(303) 940-7167
Entity
Organization
Contact information
Practice address
4275 HARLAN ST, WHEAT RIDGE, CO 80033-5119
(303) 940-7167
(303) 940-7258
Mailing address
4275 HARLAN ST, WHEAT RIDGE, CO 80033-5119
(303) 940-7167
(303) 940-7258
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4777
CO
Other
Enumeration date
05/06/2010
Last updated
05/06/2010
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