| NPI | 1043992498 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CESAR CARRERA Practice Manager 303-331-6744 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2081S0010X Physical Medicine & Rehabilitation, Sports Medicine |
| Enumeration Date | 2023-08-04 |
| Last Update Date | 2023-08-04 |