Individual
MR. KOJI OTSUKA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSOM, L.AC.
Contact information
Practice address
3407 STANFORD AVE, BOULDER, CO 80305-5350
(303) 949-8759
Mailing address
3407 STANFORD AVE, BOULDER, CO 80305-5350
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
ACU.0001979
CO
Other
Enumeration date
07/08/2014
Last updated
07/08/2014
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