Organization
REVOLVE SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SANG PHAM D.C. (CHIROPRACTOR)
(303) 738-1725
Entity
Organization
Contact information
Practice address
201 WEST COUNTY LINE ROAD, LITTLETON, CO 80129-1901
(303) 738-1725
(303) 738-5876
Mailing address
201 WEST COUNTY LINE ROAD, LITTLETON, CO 80129-1901
(303) 738-1725
(303) 738-5876
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
7078
CO
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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