Organization
SHADOW MOUNTAIN CHIROPRACTIC CLINIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEFFREY W SHAW D. C. (PRESIDENT)
(970) 887-3131
Entity
Organization
Contact information
Practice address
60 SECOND ST, GRANBY, CO 80446-0036
(970) 887-3131
(970) 887-3913
Mailing address
PO BOX 36, GRANBY, CO 80446-0036
(970) 887-3131
(970) 887-3913
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1596
CO
Other
Enumeration date
05/29/2007
Last updated
08/22/2020
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