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Organization

CAMPBELL CHIROPRACTIC, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. CORY M CAMPBELL D.C. (PRESIDENT)
(303) 663-8365
Entity
Organization

Contact information

Practice address
3750 DACORO LN, SUITE 135, CASTLE ROCK, CO 80109-2501
(303) 663-8365
Mailing address
3750 DACORO LN, SUITE 135, CASTLE ROCK, CO 80109-2501
(303) 663-8365

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
5496
CO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
COB4418
MEDICARE PTAN
CO
Enumeration date
01/15/2008
Last updated
02/03/2011
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