Individual
DR. WESLEY EUGENE STATLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
630 15TH AVE, SUITE 102, LONGMONT, CO 80501-2700
(303) 651-2525
Mailing address
630 15TH AVE, SUITE 102, LONGMONT, CO 80501-2700
(303) 651-2525
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1723
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
08017238
—
CO
Enumeration date
08/31/2006
Last updated
07/08/2007
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