Active Phase Spinal Therapies, PC
NPI #1811109374 in Grand Junction, Colorado
Provider Information
- NPI Number
- 1811109374
- Entity Type
- Organization
- Organization Name
- Active Phase Spinal Therapies, PC
- Primary Specialty
- Health Maintenance Organization
- Enumeration Date
- May 4, 2007
- Last Updated
- Jul 19, 2012
Practice Location
- Address
- 2646 PATTERSON RD
- Address 2
- SUITE A
- City
- Grand Junction
- State
- Colorado
- ZIP Code
- 81506-1941
- Phone
- (970) 248-9833
Authorized Official
- Name
- CHRISTOPHER ANGELLO, DC
- Title
- PRESIDENT
- Phone
- (970) 248-9833
Specialties & Taxonomy Codes
| Specialty |
|---|
| Health Maintenance Organization |
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