Organization
BAYFIELD CHIROPRACTIC & SPORTS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENNETH ROY MONGER D.C. (CHIROPRACTOR)
(970) 884-2082
Entity
Organization
Contact information
Practice address
1327 HWY 160B, BAYFIELD, CO 81122
(970) 884-2082
Mailing address
PO BOX 532, BAYFIELD, CO 81122
(970) 884-2082
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
6265
CO
Other
Enumeration date
09/11/2009
Last updated
09/11/2009
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