Organization
CANYON RIDGE INTEGRATIVE HEALTH LLC
Active
Other names
Canyon Ridge Integrated Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN RUDIAK DC (OWNER)
(303) 660-3505
Entity
Organization
Contact information
Practice address
7280 LAGAE RD STE B, CASTLE PINES, CO 80108-9454
(303) 660-3505
Mailing address
7280 LAGAE RD STE B, CASTLE PINES, CO 80108-9454
(303) 660-3505
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
—
—
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
02/02/2023
Last updated
02/09/2023
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