Organization
PRANATONIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBALL CICCIU (OWNER)
(720) 231-9110
Entity
Organization
Contact information
Practice address
807 14TH ST, GOLDEN, CO 80401-1866
(303) 274-5733
(303) 954-9561
Mailing address
807 14TH ST, GOLDEN, CO 80401-1866
(303) 274-5733
(303) 954-9561
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
534
CO
Other
Enumeration date
07/30/2014
Last updated
07/30/2014
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