Individual
DR. DOUGLAS WAYNE VISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1701 KIPLING ST STE 105, LAKEWOOD, CO 80215-2848
(303) 238-0545
(303) 238-5553
Mailing address
1701 KIPLING ST STE 105, LAKEWOOD, CO 80215-2848
(303) 238-0545
(303) 238-5553
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
2497
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2497
LICENSE #
CO
Enumeration date
05/08/2007
Last updated
07/08/2007
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