| NPI | 1215670625 |
|---|---|
| Doing Business As | HOWARD HEAD SPORTS MEDICINE AT BASALT DME |
| Entity Type | Organization |
| Authorized Contact | JOHN D HIGGINS CFO 970-479-7272 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2022-04-14 |
| Last Update Date | 2023-10-05 |