Organization
VAIL MED INC
Active
Other names
VAIL INTEGRATIVE MEDICAL GROUP
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOEL T DEKANICH DC, DACBSP, EMT,CSCS (PRESIDENT)
(970) 926-4600
Entity
Organization
Contact information
Practice address
0105 EDWARDS VILLAGE CENTER, A203, EDWARDS, CO 81632
(970) 926-4600
(970) 926-4602
Mailing address
PO BOX 2637, EDWARDS, CO 81632-2637
(970) 926-4600
(970) 926-4602
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
4030
CO
2251X0800X
Orthopedic Physical Therapist
11122
CO
261QP2300X
Primary Care Clinic/Center
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
01/08/2007
Last updated
08/24/2022
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