Individual
DR. COLTON WADE ROESENER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
153 WEST JEFFERSON AVENUE, HAYDEN, CO 81639-0428
(970) 276-1215
(970) 276-1216
Mailing address
PO BOX 428, HAYDEN, CO 81639-0428
(970) 276-1215
(970) 276-1216
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6870
CO
Other
Enumeration date
05/30/2012
Last updated
05/30/2012
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