Organization
LEGACY CREATION LLC
Active
Other names
The Disc Chiropractic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALPHONSE SIMEONE DC (OWNER)
(860) 575-5062
Entity
Organization
Contact information
Practice address
6990 W 38TH AVE STE 205, WHEAT RIDGE, CO 80033-4981
(860) 575-5062
Mailing address
6990 W 38TH AVE STE 205, WHEAT RIDGE, CO 80033-4981
(860) 575-5062
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
02/18/2022
Last updated
02/18/2022
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