| NPI | 1164195673 |
|---|---|
| Doing Business As | SCL HEALTH MEDICAL GROUP - LUTHERAN SPINE CENTER SATELLITE |
| Entity Type | Organization |
| Authorized Contact | JON MCDANIEL VP Finance Medical Group 303-272-0231 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical |
| Enumeration Date | 2021-07-29 |
| Last Update Date | 2021-07-29 |