| NPI | 1194826107 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN POLVI President 719-533-1000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 4071) |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2024-01-31 |