NPI 1013939685

Theodore Marc Long-Ishikawa, DC

Practitioner Chiropractor Denver, CO

Practice location

Address: 331 14th Street Suite 208, Denver, CO 80202
Phone: (720) 956-0156
Fax: (720) 956-0157
Mailing address: 50 S Federal Blvd, Denver, CO 80219

Registered specialties

Chiropractor Primary

Chiropractic Providers Taxonomy 111N00000X Licence 5286 (CO)

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Registry record

NPI: 1013939685
Entity type: Individual
Sex (as registered): Male
NPI issued: 24 Jul 2006
Record last updated: 8 Jul 2007

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.