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Organization

PROFESSIONAL CHIROPRACTIC OFFICE LLC

Active
Other names
Professional Chiropractic Office LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. TANNER COLBY JOHNSON DC (MANAGING MEMBER)
(970) 580-1463
Entity
Organization

Contact information

Practice address
1919 65TH AVE UNIT A, GREELEY, CO 80634-7965
(970) 353-5300
(970) 353-5332
Mailing address
1919 65TH AVE UNIT A, GREELEY, CO 80634-7965
(970) 353-5300
(970) 353-5332

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
1689
CO

Other

Enumeration date
02/25/2008
Last updated
03/21/2023
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