| 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 | 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) | |
| 2083S0010X Preventive Medicine Sports Medicine (Licence: CO 43597) | |
| 2083X0100X Preventive Medicine Occupational Medicine (Licence: CO 43597) | |
| 208D00000X General Practice (Licence: CO 43597) | |
| 208VP0000X Pain Medicine Pain Medicine (Licence: CO 43597) | |
| 261QH0100X Clinic/Center Health Service (Licence: CO 43597) | |
| Enumeration Date | 2015-05-20 |
| Last Update Date | 2022-07-21 |