Individual
C KEITH ECONOMIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
L.AC.,NCTMB,MSOM
Contact information
Practice address
4728 ASHFIELD CT, BOULDER, CO 80301-4009
(303) 817-5618
Mailing address
4728 ASHFIELD CT, BOULDER, CO 80301-4009
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1236
CO
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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