| NPI | 1194273003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BEAU GERTZ Owner, President Sales/Operations 720-477-0637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X |
| Additional Taxonomies | 208D00000X General Practice |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| 261QR0400X Clinic/Center, Rehabilitation | |
| Enumeration Date | 2016-09-20 |
| Last Update Date | 2016-09-20 |