Individual
DR. JAY D. FULLINWIDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
9898 ROSEMONT AVE, SUITE 204, LONE TREE, CO 80124-4106
(303) 795-2300
Mailing address
9898 ROSEMONT AVE, SUITE 204, LONE TREE, CO 80124-4106
(303) 795-2300
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
3647
CO
111NR0400X
Rehabilitation Chiropractor
3647
CO
Other
Enumeration date
04/02/2007
Last updated
05/22/2009
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