Individual
RYAN HALEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
440 W MAIN ST, CORTEZ, CO 81321-3140
(970) 565-4483
Mailing address
440 W MAIN ST, CORTEZ, CO 81321-3140
(970) 565-4483
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR.0007987
CO
Other
Enumeration date
09/06/2019
Last updated
09/06/2019
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