Individual
SCOTT CLIFFORD SOUCIE
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
DC
Contact information
Practice address
4006 CLEVELAND AVE, BUILDING B, WELLINGTON, CO 80549
(970) 568-9368
Mailing address
PO BOX 434, WELLINGTON, CO 80549-0434
(970) 568-9368
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4975
CO
Other
Enumeration date
12/05/2005
Last updated
07/08/2007
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