| NPI | 1245248723 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP ABSTON Owner 970-396-6994 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO 33642) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |