Provider Demographics
NPI:1457438640
Name:BRIAN T. STUTZ, D.C., P.C.
Entity Type:Organization
Organization Name:BRIAN T. STUTZ, D.C., P.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIROPRACTOR AND PEDORTHIST
Authorized Official - Prefix:DR
Authorized Official - First Name:BRIAN
Authorized Official - Middle Name:T
Authorized Official - Last Name:STUTZ
Authorized Official - Suffix:
Authorized Official - Credentials:DC, CPED
Authorized Official - Phone:303-733-2521
Mailing Address - Street 1:3300 E 1ST AVE
Mailing Address - Street 2:SUITE 600
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80206-5810
Mailing Address - Country:US
Mailing Address - Phone:303-733-2521
Mailing Address - Fax:303-733-7682
Practice Address - Street 1:3300 E 1ST AVE
Practice Address - Street 2:SUITE 600
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80206-5810
Practice Address - Country:US
Practice Address - Phone:303-733-2521
Practice Address - Fax:303-733-7682
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5258111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty