Organization
LIFE CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN R. WENDT D.C. (OWNER)
(303) 678-1979
Entity
Organization
Contact information
Practice address
825 DELAWARE AVE, SUITE P103, LONGMONT, CO 80501-6169
(303) 678-1979
(303) 678-5577
Mailing address
825 DELAWARE AVE, SUITE P103, LONGMONT, CO 80501-6169
(303) 678-1979
(303) 678-5577
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6119
CO
Other
Enumeration date
11/19/2007
Last updated
04/28/2011
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