DR. Glen Petcavage, D.C.
NPI #1982920435 in Fort Collins, Colorado
Provider Information
- NPI Number
- 1982920435
- Entity Type
- Individual
- Name
- DR. Glen Petcavage, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Chiropractor
- Credential
- D.C.
- Enumeration Date
- Apr 8, 2010
- Last Updated
- Apr 8, 2010
Practice Location
- Address
- 1225 REDWOOD ST
- City
- Fort Collins
- State
- Colorado
- ZIP Code
- 80524-2052
- Phone
- (970) 484-2023
Specialties & Taxonomy Codes
| Specialty |
|---|
| Chiropractor |
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