Individual
DR. JEFFREY GANNON O'HARA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1180 MAIN ST UNIT 7, WINDSOR, CO 80550-4753
(970) 744-1084
Mailing address
1180 MAIN ST UNIT 7, WINDSOR, CO 80550-4753
(970) 744-1084
Taxonomy
Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
Primary
CHR6717
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CHR6717
CHR6717
CO
Enumeration date
08/11/2011
Last updated
08/11/2011
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