Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 5815 | CO |
NPI | 1396903845 |
---|---|
Provider Name | Dr. Branan Scott Dewees |
First Address | Denver, CO 80246-3052 |
Second Address | Denver, CO 80246-3052 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 30/05/2008 |
Last Update Date | 30/05/2008 |