Organization
MONUMENT SPORT & SPINE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVAN BUMGARNER DC (OWNER)
(970) 210-5933
Entity
Organization
Contact information
Practice address
609 NORTH AVE STE 1, GRAND JUNCTION, CO 81501-7520
(970) 242-7700
(970) 242-7711
Mailing address
609 NORTH AVE STE 1, GRAND JCT, CO 81501-7520
(970) 242-7700
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
006D0914G
FULCRUM
—
01
—
093574
UHC
MN
01
—
14426279
CAQH
—
05
—
1932762929
—
MN
Enumeration date
09/15/2022
Last updated
02/06/2023
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