Eagle Integrated Medicine

NPI #1407260318 in Eagle, Colorado

Provider Information

NPI Number
1407260318
Entity Type
Organization
Organization Name
Eagle Integrated Medicine
Primary Specialty
Chiropractor
Enumeration Date
Jun 18, 2014
Last Updated
Jun 18, 2014

Practice Location

Address
717A SYLVAN LAKE RD
City
Eagle
ZIP Code
81631
Phone
(970) 328-1200

Authorized Official

Name
DR. RYAN THOMAS AZELTINE, DC
Title
PRESIDENT
Phone
(971) 322-9791

Specialties & Taxonomy Codes

Specialty
Chiropractor

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