Organization
BETRU LLC
Active
Other names
Blue Creek Integrative Health
Organization subpart
No
Provider details
NPI number
Authorized official
MEGAN M LONG L.AC. (OWNER)
(303) 573-7484
Entity
Organization
Contact information
Practice address
7350 E 29TH AVE, SUITE 204, DENVER, CO 80238-2720
(303) 573-7484
(303) 573-0994
Mailing address
7350 E 29TH AVE, SUITE 204, DENVER, CO 80238-2720
(303) 573-7484
(303) 573-0994
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1170
CO
174400000X
Specialist
4897
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LNDMK
LANDMARK
CA
Enumeration date
06/30/2010
Last updated
06/30/2010
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