Advanced Chiropractic, P.c.

NPI #1740402437 in Salida, Colorado

Provider Information

NPI Number: 1740402437
Entity Type: Organization
Organization Name: Advanced Chiropractic, P.c.
Primary Specialty: Chiropractor
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 507 E RAINBOW BLVD
City: Salida
State: Colorado
ZIP Code: 81201-2901
Phone: (719) 539-0528

Authorized Official

Name: DR. RANDALL J PROVICK, B.SC., D.C.
Title: CHIROPRACTOR
Phone: (719) 539-0528

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Chiropractor	111N00000X	Primary

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