Individual
DR. DAVID MAX DUTTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2216 SAN JUAN AVE, LA JUNTA, CO 81050-3324
(719) 384-7346
(719) 384-2259
Mailing address
2216 SAN JUAN AVE, LA JUNTA, CO 81050-3324
(719) 384-7346
(719) 384-2259
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1165
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
K3503
MEDICARE CORP
—
Enumeration date
04/25/2007
Last updated
07/08/2007
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