Organization
THRIVE CHIROPRACTIC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAPPER O NICCUM D.C. (DOCTOR)
(970) 259-0968
Entity
Organization
Contact information
Practice address
202 W 22ND ST, DURANGO, CO 81301-4618
(970) 259-0968
(970) 259-3679
Mailing address
202 W 22ND ST, DURANGO, CO 81301-4618
(970) 259-0968
(970) 259-3679
Taxonomy
Speciality
Code
Description
License number
State
302F00000X
Exclusive Provider Organization
Primary
5103
CO
Other
Enumeration date
01/13/2010
Last updated
06/20/2013
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