Organization
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Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DEREK CARROLL DC (OWNER/PRESIDENT)
(970) 635-2848
Entity
Organization
Contact information
Practice address
629 E EISENHOWER BLVD, LOVELAND, CO 80538
(970) 635-2848
(970) 461-0004
Mailing address
629 E EISENHOWER BLVD, LOVELAND, CO 80538
(970) 635-2848
(970) 461-0004
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6120
CO
Other
Enumeration date
02/04/2010
Last updated
02/23/2010
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