Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NS0005X | Chiropractic Sports Physician | CHR.0007901 | CO |
NPI | 1124587308 |
---|---|
Provider Name | Dr. Devyn Christian |
First Address | Broomfield, CO 80020-0414 |
Second Address | Broomfield, CO 80020-0414 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2019 |
Last Update Date | 18/03/2019 |