Organization
PHYLLIS HAMAR, LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS HAMAR LAC, M.S.T.CM. (OWNER)
(970) 539-0324
Entity
Organization
Contact information
Practice address
710 11TH AVE STE 106, GREELEY, CO 80631-3200
(970) 539-0324
Mailing address
PO BOX 121, SEVERANCE, CO 80546-0121
(970) 539-0324
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
1431
CO
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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