Organization
FOUNTAIN CREEK CHIROPRACTIC
Active
Other names
Ute Pass Family Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAMES RUSSELL WILEY D.C. (CHIROPRACTOR)
(719) 687-6683
Entity
Organization
Contact information
Practice address
18401 HIGHWAY 24 STE 120, WOODLAND PARK, CO 80863-9036
(719) 687-6683
(888) 972-5776
Mailing address
18401 HIGHWAY 24 STE 120, WOODLAND PARK, CO 80863-9036
(719) 687-6683
(888) 972-5776
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5709
CO
Other
Enumeration date
08/22/2007
Last updated
05/28/2021
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