| NPI | 1164506101 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT BRANDT Owner/President 303-788-9308 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CO 36941) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2020-08-22 |