Individual
DR. OTSIC CLARK STOWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
1120 ALPINE AVE, SUITE E, BOULDER, CO 80304-3414
(303) 442-7900
(303) 442-7995
Mailing address
1120 ALPINE AVE, SUITE E, BOULDER, CO 80304-3414
(303) 442-7900
(303) 442-7995
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1950
CO
Other
Enumeration date
08/21/2006
Last updated
07/08/2007
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