| NPI | 1114432903 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALEX G REISH Owner 303-225-6625 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 46517) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 46517) |
| Enumeration Date | 2017-12-04 |
| Last Update Date | 2019-09-19 |