Summit Chiropractic Clinic of South Denver, INC

NPI #1518051507 in Lone Tree, Colorado

Provider Information

NPI Number: 1518051507
Entity Type: Organization
Organization Name: Summit Chiropractic Clinic of South Denver, INC
Primary Specialty: Chiropractor
Enumeration Date: Oct 3, 2006
Last Updated: May 22, 2009

Practice Location

Address: 9898 S. ROSEMONT AVE.
Address 2: SUITE 204
City: Lone Tree
State: Colorado
ZIP Code: 80124-4107
Phone: (303) 795-2300

Authorized Official

Name: DR. JAY D. FULLINWIDER, D.C.
Title: OWNER/DOCTOR
Phone: (303) 795-2300

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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