Provider Demographics
NPI:1851496921
Name:MYHRA, RON D (DC)
Entity Type:Individual
Prefix:DR
First Name:RON
Middle Name:D
Last Name:MYHRA
Suffix:
Gender:M
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8461 TURNPIKE DR
Mailing Address - Street 2:SUITE 209
Mailing Address - City:WESTMINSTER
Mailing Address - State:CO
Mailing Address - Zip Code:80031-4376
Mailing Address - Country:US
Mailing Address - Phone:303-429-8928
Mailing Address - Fax:303-429-8980
Practice Address - Street 1:8461 TURNPIKE DR
Practice Address - Street 2:SUITE 209
Practice Address - City:WESTMINSTER
Practice Address - State:CO
Practice Address - Zip Code:80031-4376
Practice Address - Country:US
Practice Address - Phone:303-429-8928
Practice Address - Fax:303-429-8980
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-14
Last Update Date:2010-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2160111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor
Provider Identifiers
StateIdentifier IDID TypeIssuer
COT60582Medicare UPIN
CO22053Medicare ID - Type Unspecified