Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111N00000X | Chiropractor | 6344 | CO |
NPI | 1003057191 |
---|---|
Provider Name | Dr. Graham Reinhardt |
First Address | Denver, CO 80237-2804 |
Second Address | Denver, CO 80237-2804 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2009 |
Last Update Date | 18/03/2009 |