NPI | 1114673415 |
---|---|
Doing Business As | HOWARD HEAD SPORTS MEDICINE AT EDWARDS |
Entity Type | Organization |
Authorized Contact | MICHAEL G BROWN SVP & CFO 970-476-7272 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 261Q00000X Clinic/Center |
Enumeration Date | 2022-02-24 |
Last Update Date | 2025-01-08 |