Organization
COLORADO SPINE AND SPORTS CLINIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MATTHEW JAMES GRAHAM D.C. (OWNER)
(303) 688-8855
Entity
Organization
Contact information
Practice address
1189 S PERRY ST, STE. 150, CASTLE ROCK, CO 80104-1959
(303) 241-8827
(303) 660-6692
Mailing address
1189 S PERRY ST, STE. 150, CASTLE ROCK, CO 80104-1959
(303) 241-8827
(303) 660-6692
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6825
CO
Other
Enumeration date
07/25/2012
Last updated
07/25/2012
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