Organization
VIDA CHIROPRACTIC STUDIO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SCOTT DAVID EVANS DC (OWNER)
(303) 433-5433
Entity
Organization
Contact information
Practice address
4650 W 38TH AVE, SUITE 210, DENVER, CO 80212-2161
(303) 433-5433
(303) 433-8432
Mailing address
4650 W 38TH AVE, SUITE 210, DENVER, CO 80212-2161
(303) 433-5433
(303) 433-8432
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6077
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7232115
BLUE CROSS BLUE SHIELD
IL
Enumeration date
11/28/2006
Last updated
03/09/2010
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