Provider Demographics
NPI:1528523230
Name:MARLER CHIROPRACTIC
Entity type:Organization
Organization Name:MARLER CHIROPRACTIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER / OPERATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:WILLIAM
Authorized Official - Last Name:MARLER
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:505-506-6965
Mailing Address - Street 1:2208 S TARRYALL WAY
Mailing Address - Street 2:
Mailing Address - City:FRANKTOWN
Mailing Address - State:CO
Mailing Address - Zip Code:80116-8504
Mailing Address - Country:US
Mailing Address - Phone:505-506-6965
Mailing Address - Fax:
Practice Address - Street 1:4284 TRAIL BOSS DR STE 120
Practice Address - Street 2:
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80104-7521
Practice Address - Country:US
Practice Address - Phone:505-506-6965
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-06
Last Update Date:2019-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty