Organization
APPLIED KINESIOLOGICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RUDOLPH MIKE VIDMAR DC (OWNER)
(303) 651-1400
Entity
Organization
Contact information
Practice address
420 21ST AVE, SUITE 102, LONGMONT, CO 80501-1441
(303) 651-1400
(303) 776-9272
Mailing address
420 21ST AVE, SUITE 102, LONGMONT, CO 80501-1441
(303) 651-1400
(303) 776-9272
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1562
CO
Other
Enumeration date
10/30/2008
Last updated
08/21/2009
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