Organization
BOVADILLA CHIROPRACTIC CLINIC INC
Active
Other names
Bovadilla Chiropractic Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGE BOVADILLA D.C. (CHIROPRACTOR)
(918) 850-6000
Entity
Organization
Contact information
Practice address
4045 WADSWORTH BLVD STE 307, WHEAT RIDGE, CO 80033-4626
(303) 647-8131
(918) 770-8208
Mailing address
4045 WADSWORTH BLVD STE 307, WHEAT RIDGE, CO 80033-4626
(303) 647-8131
(918) 493-1773
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
171100000X
Acupuncturist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1417975897
NPI OF DOCTOR
OK
Enumeration date
12/18/2006
Last updated
10/05/2022
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