NPI | 1245619451 |
---|---|
Entity Type | Organization |
Authorized Contact | JONATHAN BLOCH Physician 303-520-4336 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 43597) |
Additional Taxonomies | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CO 43597) |
2083X0100X Preventive Medicine, Occupational Medicine (Licence: CO 43597) | |
208D00000X General Practice (Licence: CO 43597) | |
101Y00000X Counselor (Licence: CO 43597) | |
101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO 43597) | |
101YM0800X Counselor, Mental Health (Licence: CO 43597) | |
132700000X Dietary Manager (Licence: CO 43597) | |
202C00000X Independent Medical Examiner (Licence: CO 43597) | |
204D00000X Neuromusculoskeletal Medicine & OMM (Licence: CO 43597) | |
208100000X Physical Medicine & Rehabilitation (Licence: CO 43597) | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine (Licence: CO 43597) | |
208VP0000X Pain Medicine, Pain Medicine (Licence: CO 43597) | |
261QH0100X Clinic/Center, Health Services (Licence: CO 43597) | |
Enumeration Date | 2015-05-20 |
Last Update Date | 2022-07-21 |