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DR. MARK A ADDANTE D.C., CCSP
Sports Physician >> Chiropractor >> Chiropractic ProvidersRegistrant NPI Number: 1245255017
Individual Registrant:DR. MARK A ADDANTE D.C., CCSP
Gender: M
Not Sole Proprietor
Gender: M
Not Sole Proprietor
Location and contact information for practice:
504 OAK ST UNIT 2 SALIDA, CO 81201-3252 US
Tel: 719-539-9493 Fax: 719-539-9496
Tel: 719-539-9493 Fax: 719-539-9496
Contact information for business:
504 OAK ST UNIT 2 SALIDA, CO 81201-3252 US
Tel: 719-539-9493 Fax: 719-539-9496
Tel: 719-539-9493 Fax: 719-539-9496
Registration Information:
NPI: 1245255017
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 111NS0005X | Chiropractic Providers Chiropractor Sports Physician | CO | 5493 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
