Organization
VITAL BALANCE ACUPUNCTURE AND HERBAL MEDICINE LLC
Active
Other names
Dr. Mark VanOtterloo DAOM
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK IAN VANOTTERLOO DAOM (OWNER)
(720) 295-9323
Entity
Organization
Contact information
Practice address
4288 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-2436
(720) 295-9323
(720) 295-9323
Mailing address
4288 YOUNGFIELD ST, WHEAT RIDGE, CO 80033-2436
(720) 295-9323
(720) 295-9323
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
1763
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1588937759
NPPES
CO
Enumeration date
02/13/2013
Last updated
10/25/2023
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