Individual
DR. ERIC MARTIN BROUGHTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
260 E HORSETOOTH RD, FT COLLINS, CO 80525-3124
(970) 223-2866
(970) 223-2867
Mailing address
260 E HORSETOOTH RD, FT COLLINS, CO 80525-3124
(970) 223-2866
(970) 223-2867
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4731
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
BR634129
BC/BS ID
CO
01
—
C48793
PROVIDER ID
CO
01
—
CO04529
SUB ID
CO
Enumeration date
05/04/2006
Last updated
07/08/2007
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