Organization
SOUTH BOULDER HEALING CENTER PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY G ELSEA DC (PRESIDENT)
(303) 499-5000
Entity
Organization
Contact information
Practice address
4150 DARLEY AVE, SUITE 6, BOULDER, CO 80305-6537
(303) 499-5000
(303) 499-4962
Mailing address
4150 DARLEY AVE, SUITE 6, BOULDER, CO 80305-6537
(303) 499-5000
(303) 499-4962
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2747
CO
Other
Enumeration date
12/04/2007
Last updated
07/02/2008
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