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Organization

GUNYAN FAMILY CHIROPRACTIC, PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. RYAN LEE GUNYAN D.C., C.S.C.S. (OWNER/PRESIDENT)
(970) 250-2889
Entity
Organization

Contact information

Practice address
456 KOKOPELLI BLVD, UNIT B, FRUITA, CO 81521-8723
(970) 250-2889
Mailing address
456 KOKOPELLI BLVD, UNIT B, FRUITA, CO 81521-8723
(970) 250-2889

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6305
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1700021524
INDIVIDUAL NPI NUMBER
CO
Enumeration date
02/13/2009
Last updated
02/13/2009
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