Individual
DR. KEITH ALLEN WAGNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
5716 AMMONS ST, ARVADA, CO 80002-2424
(303) 940-0666
(303) 940-6320
Mailing address
5716 AMMONS ST, ARVADA, CO 80002-2424
(303) 940-0666
(303) 940-6320
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3161
CO
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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