Organization
PHYSICAL MEDICINE OF COLORADO, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS J TERRY D,O. (CLINIC MANAGER)
(303) 912-3596
Entity
Organization
Contact information
Practice address
3083 WALNUT ST, BOULDER, CO 80301-2509
(303) 440-0500
(303) 440-4621
Mailing address
3083 WALNUT ST, BOULDER, CO 80301-2509
(303) 440-0500
(303) 440-4621
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
CHR-1561
CO
208D00000X
General Practice Physician
Primary
17008
CO
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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