Phase Pro Corporation
NPI #1346419017 in Broomfield, Colorado
Provider Information
- NPI Number
- 1346419017
- Entity Type
- Organization
- Organization Name
- Phase Pro Corporation
- Primary Specialty
- Chiropractor
- Enumeration Date
- Feb 26, 2008
- Last Updated
- Apr 10, 2009
Practice Location
- Address
- 1140 US HIGHWAY 287
- Address 2
- STE 100
- City
- Broomfield
- State
- Colorado
- ZIP Code
- 80020-7080
- Phone
- (303) 469-0353
Authorized Official
- Name
- BRIAN KENYON
- Title
- PRESIDENT
- Phone
- (303) 469-0353
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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