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Organization

DENVER SPORT AND SPINE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN ROBER RAGER WEIMER (OWNER/PRESIDENT)
(303) 960-8016
Entity
Organization

Contact information

Practice address
3441 TENNYSON ST, DENVER, CO 80212-1723
(303) 955-5994
(303) 993-2681
Mailing address
3441 TENNYSON ST, DENVER, CO 80212-1723
(303) 955-5994
(303) 993-2681

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
6656
CO

Other

Enumeration date
10/23/2012
Last updated
09/06/2023
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