Provider Demographics
NPI:1457516825
Name:HORIZON PAIN CENTER
Entity type:Organization
Organization Name:HORIZON PAIN CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:CLARENCE
Authorized Official - Middle Name:JARON
Authorized Official - Last Name:BRUNSON
Authorized Official - Suffix:
Authorized Official - Credentials:DC
Authorized Official - Phone:303-663-3435
Mailing Address - Street 1:858 W HAPPY CANYON RD
Mailing Address - Street 2:SUITE 235
Mailing Address - City:CASTLE ROCK
Mailing Address - State:CO
Mailing Address - Zip Code:80108-3912
Mailing Address - Country:US
Mailing Address - Phone:303-663-3435
Mailing Address - Fax:303-663-3510
Practice Address - Street 1:858 W HAPPY CANYON RD
Practice Address - Street 2:SUITE 235
Practice Address - City:CASTLE ROCK
Practice Address - State:CO
Practice Address - Zip Code:80108-3912
Practice Address - Country:US
Practice Address - Phone:303-663-3435
Practice Address - Fax:303-663-3510
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-07-24
Last Update Date:2008-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes111N00000XChiropractic ProvidersChiropractorGroup - Single Specialty