Provider Demographics
NPI:1962530774
Name:STIMSON, CRAIG A (DC)
Entity type:Individual
Prefix:DR
First Name:CRAIG
Middle Name:A
Last Name:STIMSON
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 1:1776 S. JACKSON ST.
Mailing Address - Street 2:SUITE #400
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80210
Mailing Address - Country:US
Mailing Address - Phone:303-691-1771
Mailing Address - Fax:303-691-1774
Practice Address - Street 1:1776 S. JACKSON ST.
Practice Address - Street 2:#400
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80210
Practice Address - Country:US
Practice Address - Phone:303-691-1771
Practice Address - Fax:303-691-1774
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2008-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO2304111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor