Individual
DR. RYAN AZELTINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
113 E 7TH ST, LEADVILLE, CO 80461-3505
(719) 486-0817
Mailing address
1811 LODESTONE DR, LEADVILLE, CO 80461-3715
(719) 486-0817
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6195
CO
Other
Enumeration date
04/09/2008
Last updated
04/09/2008
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