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Individual

DR. DEREK B KOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C., L.AC

Contact information

Practice address
6055 LEHMAN DR STE 105, COLORADO SPRINGS, CO 80918-5486
(719) 246-9276
Mailing address
6055 LEHMAN DR STE 105, COLORADO SPRINGS, CO 80918-5486
(719) 246-9276

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
33225
CA
111N00000X
Chiropractor
7357
CO
171100000X
Acupuncturist
13090
CA
171100000X
Acupuncturist
Primary
2151
CO

Other

Enumeration date
03/04/2009
Last updated
04/16/2016
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