NPI | 1184061475 |
---|---|
Entity Type | Organization |
Authorized Contact | TODD WENNER CEO 720-343-1259 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207K00000X Allergy & Immunology |
207P00000X Emergency Medicine | |
207R00000X Internal Medicine | |
208000000X Pediatrics | |
208100000X Physical Medicine & Rehabilitation | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
2083X0100X Preventive Medicine, Occupational Medicine | |
2084A0401X Psychiatry & Neurology, Addiction Medicine | |
2084P2900X Psychiatry & Neurology, Pain Medicine | |
208D00000X General Practice | |
208VP0000X Pain Medicine, Pain Medicine | |
208VP0014X Pain Medicine, Interventional Pain Medicine | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2013-05-28 |
Last Update Date | 2013-05-28 |