Individual
DOUGLAS EUGENE BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
195 S MAIN ST, SUITE# 1, LONGMONT, CO 80501-5780
(303) 651-2060
(303) 651-9701
Mailing address
195 S MAIN ST, SUITE# 1, LONGMONT, CO 80501-5780
(303) 651-2060
(303) 651-9701
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5281
CO
Other
Enumeration date
10/16/2006
Last updated
07/08/2007
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