Organization
HEALTHSOURCE ARVADA PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS ANGELA DAWN KONIKOW (OFFICE MANAGER)
(720) 974-9477
Entity
Organization
Contact information
Practice address
5091 KIPLING ST, SUITE 210, WHEAT RIDGE, CO 80033-2325
(720) 974-9477
(920) 974-9481
Mailing address
5091 KIPLING ST, SUITE 210, WHEAT RIDGE, CO 80033-2325
(720) 974-9477
(920) 974-9481
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6863
CO
Other
Enumeration date
06/18/2012
Last updated
06/18/2012
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