Organization
4 CORNERS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JEREMY WAYNE ROSENBAUGH DC. (OWNER)
(970) 565-4483
Entity
Organization
Contact information
Practice address
321 E NORTH ST, CORTEZ, CO 81321-3230
(970) 565-4483
Mailing address
321 E NORTH ST, CORTEZ, CO 81321-3230
(970) 565-4483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6751
CO
Other
Enumeration date
01/24/2012
Last updated
02/15/2012
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