| NPI | 1225391766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FILLMORE Owner 720-979-8229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: CO 37051) |
| Enumeration Date | 2012-06-20 |
| Last Update Date | 2014-11-15 |