| NPI | 1043995715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LAWRENCE MITCHELL Director Of Operations 303-756-3245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2023-06-20 |
| Last Update Date | 2023-06-20 |