Organization
ASRC FORT COLLINS P.C. LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL KEITH THOMPSON D.C. (PRESIDENT)
(307) 637-7055
Entity
Organization
Contact information
Practice address
4103 BOARDWALK DRIVE STE 202, FORT COLLINS, CO 80525-5930
(970) 377-2922
(970) 377-3507
Mailing address
1330 RIDGE ROAD, CHEYENNE, WY 82001-5917
(307) 637-7055
(307) 637-7055
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
5545
CO
Other
Enumeration date
05/10/2007
Last updated
12/11/2007
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