| NPI | 1164604872 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | H M WISE Owner/Doctor 303-730-7445 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 3900) |
| Enumeration Date | 2007-12-04 |
| Last Update Date | 2007-12-04 |