NPI | 1164558995 |
---|---|
Entity Type | Organization |
Authorized Contact | CAROLYN RUTH BURKHARDT Owner 720-200-5454 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 28021) |
Enumeration Date | 2007-02-26 |
Last Update Date | 2011-09-08 |