Provider Demographics
NPI:1932379377
Name:PALMER, ROBERT J (DC)
Entity type:Individual
Prefix:
First Name:ROBERT
Middle Name:J
Last Name:PALMER
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 1:2835 PEARL ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:BOULDER
Mailing Address - State:CO
Mailing Address - Zip Code:80301-1140
Mailing Address - Country:US
Mailing Address - Phone:303-444-7744
Mailing Address - Fax:
Practice Address - Street 1:2835 PEARL ST
Practice Address - Street 2:UNIT D
Practice Address - City:BOULDER
Practice Address - State:CO
Practice Address - Zip Code:80301-1140
Practice Address - Country:US
Practice Address - Phone:303-444-7744
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5096111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor