Dr. Jeffrey Gannon O'Hara, D.C.
Chiropractor, Rehabilitation in Windsor, CO. Individual provider (NPI-1).
NPI number1477832194
StatusActive
Last updated in NPPESAug 11, 2011
Details
- NPI
- 1477832194
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jeffrey Gannon O'Hara
- Credential
- D.C.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 11, 2011
- Last updated
- Aug 11, 2011
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 111NR0400X | Chiropractor, Rehabilitation | CHR6717 | CO | Yes |
Practice location
1180 Main St Unit 7Windsor, CO 80550-4753
Phone 970-744-1084
Mailing address
1180 Main St Unit 7Windsor, CO 80550-4753
Phone 970-744-1084
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