| NPI | 1184088932 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLYDE JOHNSON Owner 720-515-8002 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP3300X Clinic/Center, Pain (Licence: CO EL.2786103) |
| Additional Taxonomies | 261QP2000X Clinic/Center, Physical Therapy (Licence: CO CHR.0006922) |
| 261QU0200X Clinic/Center, Urgent Care (Licence: CO CHR.0006922) | |
| Enumeration Date | 2016-04-07 |
| Last Update Date | 2016-04-07 |