| NPI | 1003415860 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA HESLEP Manager 719-852-3420 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine |
| 225100000X Physical Therapist | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2020-10-22 |
| Last Update Date | 2024-02-22 |