Individual
SAMUEL MCDONALD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
6650 W 44TH AVE STE 2B, WHEAT RIDGE, CO 80033-4711
(720) 667-3650
Mailing address
PO BOX 501, ARVADA, CO 80001-0501
(720) 791-1367
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHR0007574
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1376069849
NPI GROUP
—
Enumeration date
08/31/2017
Last updated
12/14/2023
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