Individual
DR. CLAYTON RICHARD SULLWOLD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
925 HIGHWAY 3, DURANGO, CO 81301-6545
(970) 385-0321
(970) 385-0281
Mailing address
925 HIGHWAY 3, DURANGO, CO 81301-6545
(970) 385-0321
(970) 385-0281
Taxonomy
Speciality
Code
Description
License number
State
111NN1001X
Nutrition Chiropractor
Primary
6110
CO
Other
Enumeration date
07/01/2008
Last updated
07/01/2008
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