Organization
PRO-ACTIVE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN P MELIS DC (OWNER)
(303) 530-4280
Entity
Organization
Contact information
Practice address
5305 SPINE RD, SUITE C, BOULDER, CO 80301-3331
(303) 530-4280
(303) 539-4281
Mailing address
5305 SPINE RD, SUITE C, BOULDER, CO 80301-3331
(303) 530-4280
(303) 539-4281
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5972
CO
Other
Enumeration date
08/12/2010
Last updated
08/12/2010
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