Organization
HEALTHSOURCE OF DTC, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER HOLOWISKI D.C. (PRISIDENT)
(303) 290-0022
Entity
Organization
Contact information
Practice address
5105 DTC PKWY, SUITE 305, GREENWOOD VILLAGE, CO 80111-2610
(303) 290-0022
(303) 290-9476
Mailing address
5105 DTC PKWY, SUITE 305, GREENWOOD VILLAGE, CO 80111-2610
(303) 290-0022
(303) 290-9476
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
5504
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
COAAA4439
MEDICARE PTAN
CO
Enumeration date
10/24/2013
Last updated
06/11/2015
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