Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NR0400X | Rehabilitation Chiropractor | 5340 | CO |
NPI | 1366519209 |
---|---|
Provider Name | Dr. Brian Michael Webb |
First Address | Parker, CO 80134-4011 |
Second Address | Parker, CO 80134-4011 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 29/11/2006 |
Last Update Date | 13/02/2014 |