| NPI | 1043866957 |
|---|---|
| Doing Business As | HOWARD HEAD SPORTS MEDICINE AT EDWARDS |
| Entity Type | Organization |
| Authorized Contact | MICHAEL G BROWN SVP & CFO 970-479-7272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2019-08-15 |
| Last Update Date | 2025-01-08 |