Organization
DENVER SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIELS JONATHAN PEDERSEN D.C (CHIROPRACTOR)
(303) 953-1471
Entity
Organization
Contact information
Practice address
1699 S COLORADO BLVD, UNIT M, DENVER, CO 80222-4036
(303) 953-1471
Mailing address
1699 S COLORADO BLVD, UNIT M, DENVER, CO 80222-4036
(303) 953-1471
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6453
CO
111NP0017X
Pediatric Chiropractor
6451
CO
Other
Enumeration date
05/11/2010
Last updated
05/11/2010
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