Organization
OTERO CHIROPRACTIC CLINIC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID ANDREW MALOTT D.C. (OWNER)
(719) 469-1692
Entity
Organization
Contact information
Practice address
313 W 3RD ST, SUITE 205, LA JUNTA, CO 81050-1411
(719) 469-1692
Mailing address
313 WEST 3RD STREET, SUITE 205, LA JUNTA, CO 81050
(719) 469-1692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6336
CO
Other
Enumeration date
12/13/2012
Last updated
12/13/2012
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