Organization
BRADY CHIROPRATIC GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WILMA KD HANSEN (OFFICE MANAGER)
(970) 242-8162
Entity
Organization
Contact information
Practice address
514 28 ONE FOURTH RD UNIT 1, GRAND JUNCTION, CO 81501-4961
(970) 242-8162
(970) 245-4308
Mailing address
514 28 ONE FOURTH RD UNIT 1, GRAND JUNCTION, CO 81501-4961
(970) 242-8162
(970) 245-4308
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1518160365
GROUP NPI
CO
01
—
1578559548
INDIVIDUAL NPI
CO
01
—
1720074792
INDIVIDUAL NPI
CO
01
—
1790779171
INDIVIDUAL NPI
CO
Enumeration date
06/08/2007
Last updated
04/01/2008
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