Organization Name: | BRENT R. GRAVES, D.C. |
NPI Number: | 1649460841 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | BRENT R. GRAVES (PRESIDENT) |
Mailing Address: | 7921 Southpark Plz 107 Littleton |
State: | CO US |
Postal Code: | 801205630 |
Phone Number: | 3033478837 |
Fax Number: | 3033478857 |
NPI Enumeration Date: | 07/25/2007 |
NPI Last Update Date: | 07/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | 2344 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |