Organization
GENESIS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JUSTIN PAUL VASQUEZ DC (DOCTOR OF CHIROPRACTIC)
(720) 440-1980
Entity
Organization
Contact information
Practice address
8683 E LINCOLN AVE, LONE TREE, CO 80124-9811
(720) 440-1980
Mailing address
8683 E LINCOLN AVE, LONE TREE, CO 80124-9811
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7446
CO
Other
Enumeration date
08/17/2016
Last updated
01/04/2017
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