Individual
DR. BRYCE FENNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1301 RIVERSIDE AVE STE 2, FORT COLLINS, CO 80524-4374
(970) 493-4049
Mailing address
1301 RIVERSIDE AVE STE 2, FORT COLLINS, CO 80524-4374
(970) 493-4049
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7415
CO
Other
Enumeration date
03/20/2017
Last updated
03/20/2017
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