Organization
EASTRIDGE CHIROPRACTIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JASON ANDREW MCTAVISH D.C. (OWNER)
(303) 683-9494
Entity
Organization
Contact information
Practice address
9567 S UNIVERSITY BLVD, UNIT D-2, LITTLETON, CO 80126-7897
(303) 683-9494
Mailing address
9567 S UNIVERSITY BLVD, UNIT D-2, LITTLETON, CO 80126-7897
(303) 683-9494
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4531
CO
Other
Enumeration date
12/29/2007
Last updated
12/29/2007
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