Individual
DR. JAMES THEODORE VIGIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
110 E 6TH ST, WALSENBURG, CO 81089-2020
(719) 738-3808
(719) 738-3808
Mailing address
110 E 6TH ST, WALSENBURG, CO 81089-2020
(719) 738-3808
(719) 738-3808
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5081
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00147521
RAILROAD MEDICARE NUMBER
CO
Enumeration date
04/23/2007
Last updated
06/16/2018
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