Organization
CANYON CHIROPRACTIC WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRETT LAWTON EDEKER D.C. (MANAGING MEMBER)
(970) 240-2181
Entity
Organization
Contact information
Practice address
1425 HAWK PKWY, SUITE 1, MONTROSE, CO 81401-6453
(970) 240-2181
(970) 240-2188
Mailing address
1425 HAWK PKWY, SUITE 1, MONTROSE, CO 81401-6453
(970) 240-2181
(970) 240-2188
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4863
CO
Other
Enumeration date
03/22/2011
Last updated
03/22/2011
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