| NPI | 1215486188 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SANDRA COPENHAVER Managing Employee 720-599-3085 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Additional Taxonomies | 207Y00000X Otolaryngology |
| 207YX0901X Otolaryngology, Otology & Neurotology | |
| 231H00000X Audiologist | |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2016-10-03 |
| Last Update Date | 2025-08-20 |