Functional Health Center LLC

NPI #1437471554 in Longmont, Colorado

Provider Information

NPI Number: 1437471554
Entity Type: Organization
Organization Name: Functional Health Center LLC
Primary Specialty: Point of Service
Enumeration Date: Feb 16, 2010
Last Updated: Feb 16, 2010

Practice Location

Address: 1600 HOVER ST
Address 2: SUITE C1
City: Longmont
State: Colorado
ZIP Code: 80501-2462
Phone: (303) 678-1979

Authorized Official

Name: DR. JARED WAYNE ALLOMONG, D.C.
Title: OFFICER
Phone: (303) 678-1979

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Point of Service	305S00000X	Primary

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