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Organization

CHERRY CREEK SPINE & SPORT CLINIC, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SCOTT M SHEIL-BROWN DC (CO-OWNER)
(720) 974-0392
Entity
Organization

Contact information

Practice address
400 S COLORADO BLVD, SUITE 300, DENVER, CO 80246-1253
(720) 974-0392
Mailing address
400 S COLORADO BLVD, SUITE 300, DENVER, CO 80246-1253
(720) 974-0392

Taxonomy

Speciality
Code
Description
License number
State
111NS0005X
Sports Physician Chiropractor
Primary
5762
CO
111NS0005X
Sports Physician Chiropractor
6065
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1083651624
NPI
CO
01
1922265909
NPI
Enumeration date
05/13/2014
Last updated
05/13/2014
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