Organization
CANON CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SETH TYSON OQUIST D.C. (OWNER)
(719) 469-7697
Entity
Organization
Contact information
Practice address
612 YALE PL, CANON CITY, CO 81212-4611
(719) 275-0100
(719) 275-0110
Mailing address
612 YALE PL, CANON CITY, CO 81212-4611
(719) 275-0100
(719) 275-0110
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6815
CO
Other
Enumeration date
08/20/2013
Last updated
08/20/2013
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