Individual
DR. JOHN R SUYAK JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
88 LAMAR ST, SUITE 104, BROOMFIELD, CO 80020-2498
(303) 439-0333
(303) 439-0435
Mailing address
88 LAMAR ST, SUITE 104, BROOMFIELD, CO 80020-2498
(303) 439-0333
(303) 439-0435
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C475698
GROUP #
CO
Enumeration date
01/05/2007
Last updated
07/08/2007
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