Individual
DR. RICHARD BAEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
2305 CANYON BLVD STE 102, BOULDER, CO 80302-5651
(303) 442-5911
Mailing address
2305 CANYON BLVD STE 102, BOULDER, CO 80302-5651
(303) 442-5911
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007261
CO
Other
Enumeration date
06/26/2018
Last updated
06/26/2018
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