Shadow Mountain Chiropractic Clinic PC

NPI #1336340314 in Granby, Colorado

Provider Information

NPI Number: 1336340314
Entity Type: Organization
Organization Name: Shadow Mountain Chiropractic Clinic PC
Primary Specialty: Chiropractor
Enumeration Date: May 29, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 60 SECOND ST
City: Granby
State: Colorado
ZIP Code: 80446-0036
Phone: (970) 887-3131

Authorized Official

Name: DR. JEFFREY W SHAW, D. C.
Title: PRESIDENT
Phone: (970) 887-3131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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