Individual
DR. MATHEW DAVID ULLOM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
2550 STOVER ST, BLDG. F, FORT COLLINS, CO 80525-4641
(970) 491-9191
(970) 223-2293
Mailing address
2550 STOVER ST, BLDG. F, FORT COLLINS, CO 80525-4641
(970) 491-9191
(970) 223-2293
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
6192
CO
Other
Enumeration date
06/11/2008
Last updated
06/11/2008
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