Organization
DC FAMILY CHIROPRACTIC INC
Active
Other names
DC Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DALE CHRIS BUCKHAULTS DC (PRESIDENT)
(719) 275-4757
Entity
Organization
Contact information
Practice address
212 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-4757
Mailing address
212 N 19TH ST, CANON CITY, CO 81212-2423
(719) 275-4757
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CO 4711
CO
Other
Enumeration date
12/11/2007
Last updated
03/25/2008
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