Individual
DR. BYRON JAY RAITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5527 N UNION BLVD, SUITE 103, COLORADO SPRINGS, CO 80918-6980
(970) 290-1049
Mailing address
4617 AUSTIN BLUFFS, COLORADO SPRINGS, CO 80918
(719) 266-6431
Taxonomy
Speciality
Code
Description
License number
State
111NN0400X
Neurology Chiropractor
Primary
5478
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
660651
ACN GROUP
CO
Enumeration date
02/15/2007
Last updated
03/27/2014
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