NPI | 1043762636 |
---|---|
Entity Type | Organization |
Authorized Contact | BENJAMIN R COWIN Owner 720-541-7098 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO CHR.0006855) |
Enumeration Date | 2016-10-29 |
Last Update Date | 2016-10-29 |