| NPI | 1164852190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN M GABRIEL Physician Auth. Official 303-805-7246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 111NN0400X Chiropractor Neurology |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-11-12 |
| Last Update Date | 2016-08-18 |