Individual
DR. HEIDI RENAE BLACK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
D.C.
Contact information
Practice address
804 S ASH ST, YUMA, CO 80759-3042
(970) 848-2050
(970) 848-2050
Mailing address
804 S ASH ST, YUMA, CO 80759-3042
(970) 848-2050
(970) 848-2050
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
6289
CO
Other
Enumeration date
05/26/2009
Last updated
04/27/2010
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