| NPI | 1093906760 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEE RUSSO Billing Manager 303-839-6279 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 32094) |
| Enumeration Date | 2007-08-07 |
| Last Update Date | 2017-10-11 |