| NPI | 1164680427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICK JOHN WEDLAKE Partner 970-589-0868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 28988) |
| Enumeration Date | 2008-05-23 |
| Last Update Date | 2008-05-23 |