NPI 1114257177

Thrive Chiropractic, P.C.

Organisation Exclusive Provider Organization Durango, CO

Practice location

Address: 202 W 22nd St, Durango, CO 81301-4618
Phone: (970) 259-0968
Fax: (970) 259-3679

Authorised official

Name: Trapper O Niccum
Title: Doctor
Phone: (970) 259-0968

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence 5103 (CO)

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Registry record

NPI: 1114257177
Entity type: Organization
NPI issued: 13 Jan 2010
Record last updated: 20 Jun 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.