NPI | 1184800757 |
---|---|
Entity Type | Organization |
Authorized Contact | ADRIENNE MARIE KANIA President/Owner 719-385-0600 |
Organization Subpart ? | No |
Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 31196) |
Additional Taxonomies | 207Q00000X Family Medicine |
Enumeration Date | 2008-01-14 |
Last Update Date | 2009-08-04 |