PVHS-ICM HEALTH AND WELLNESS, LLC

FORT COLLINS, CO
NPI1023562030
Other NameWOODWARD
Entity TypeOrganization
Authorized ContactJAMES SPROWELL
Md
970-495-6201
Organization Subpart ?No
Primary Taxonomy261Q00000X 
Enumeration Date2016-08-08
Last Update Date2016-08-08
Business Address
PVHS-ICM HEALTH AND WELLNESS, LLC
3702 AUTOMATION WAY SUITE 103
FORT COLLINS, CO 80525-5737
Phone number: 970-495-6201
Mailing Address
PVHS-ICM HEALTH AND WELLNESS, LLC
3702 AUTOMATION WAY SUITE 103
FORT COLLINS, CO 80525-5737
Phone number: 970-495-6201