NPI 1710397633

100 Percent Chiropractic Colorado Springs Four, LLC

Organisation Preferred Provider Organization Colorado Springs, CO

Practice location

Address: 6906 N Academy Blvd, Colorado Springs, CO 80918-1127
Phone: (719) 358-7422
Fax: (719) 375-5934

Authorised official

Name: Justin Ryan Stokes
Title: Owner/Manager
Phone: (719) 358-7422

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X Licence 0006833 (CO)

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Registry record

NPI: 1710397633
Entity type: Organization
NPI issued: 30 Apr 2014
Record last updated: 30 Apr 2014

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.