Organization
SUMMIT CHIROPRACTIC CLINIC OF SOUTH DENVER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAY D. FULLINWIDER D.C. (OWNER/DOCTOR)
(303) 795-2300
Entity
Organization
Contact information
Practice address
9898 S. ROSEMONT AVE., SUITE 204, LONE TREE, CO 80124-4107
(303) 795-2300
Mailing address
9898 S. ROSEMONT AVE., SUITE 204, LONE TREE, CO 80124-4107
(303) 795-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3647
CO
Other
Enumeration date
10/03/2006
Last updated
05/22/2009
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