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Dr. Glen Petcavage, DC
Chiropractor in Fort Collins, Colorado
NPI 1982920435

Glen Petcavage is a Chiropractor based in Fort Collins, CO. Glen Petcavage practices in Fort Collins, CO and has the professional credentials of DC. The NPI Number for Glen Petcavage is 1982920435 and holds a License No. CHR-6164 (Colorado).

The current practice location address for Glen Petcavage is 1225 Redwood St, Fort Collins, CO and can be reached out via phone at 970-484-2023 and via fax at 866-867-8553.

Location: 1225 Redwood St, Fort Collins, CO, 80524-2052
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982920435
Provider Name
Glen Petcavage
Credential
DC
Provider Entity Type
Individual
Gender
Male
Address
1225 Redwood St, Fort Collins, CO, 80524-2052
Phone Number
970-484-2023
Fax Number
866-867-8553
Provider Enumeration Date
04/08/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1225 Redwood St
City
Fort Collins
State
Colorado
Zip
80524-2052
Phone Number
970-484-2023
Fax Number
866-867-8553
person
Provider Business Mailing Address Details
Address
1225 Redwood St
City
Fort Collins
State
Colorado
Zip
80524-2052
Phone Number
970-484-2023
Fax Number
866-867-8553
person
Provider's Taxonomy Details 1
Type
Chiropractic Providers
Classification
Chiropractor
Speciality
-
Taxonomy
111N00000X
License No.
CHR-6164 (Colorado)
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.
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