Organization
GRADY CHIROPRACTIC PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHANDON GRADY D.C. (DOCTOR)
(303) 690-8822
Entity
Organization
Contact information
Practice address
15352 E IDA DR, UNIT B, CENTENNIAL, CO 80015-4286
(303) 690-8822
(720) 870-4052
Mailing address
15352 E IDA DR, UNIT B, CENTENNIAL, CO 80015-4286
(303) 690-8822
(720) 870-4052
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4524
CO
Other
Enumeration date
06/17/2009
Last updated
10/29/2009
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