Organization
EASTRIDGE CHIROPRACTIC COMPANY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANTAI IRENE WATSON DC (OWNER)
(408) 391-4346
Entity
Organization
Contact information
Practice address
9090 RIDGELINE BLVD STE 205, HIGHLANDS RANCH, CO 80129-2505
(408) 391-4346
Mailing address
6344 S HARRISON CT, CENTENNIAL, CO 80121-3611
(408) 391-4346
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
01/11/2021
Last updated
01/12/2021
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