| NPI | 1184836736 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER LAFONTANO President 303-991-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 22411) |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 37895) |
| 207QH0002X Family Medicine, Hospice and Palliative Medicine (Licence: CO 37896) | |
| 363A00000X Physician Assistant (Licence: CO 2031) | |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2013-09-05 |