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Glen Petcavage, D.C
NPI 1982920435 · on the registry since 2010 · sole proprietor
Practice
- Address
- 1225 Redwood St
Fort Collins, CO 80524 - Phone
- (970) 484-2023
- Fax
- (866) 867-8553
- Organisation at this address
- A Life Worth Living
A Life Worth Living
A Life Worth LivingInferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- Chiropractor
111N00000X
- Licence states on file
- CO
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-04-08
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Colorado