| NPI | 1255813671 |
|---|---|
| Doing Business As | SOUTHWEST SPINE SERVICES |
| Entity Type | Organization |
| Authorized Contact | GLENN PESHEK Associate Administrator Oma 303-673-7164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology Diagnostic Radiology |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2018-09-01 |
| Last Update Date | 2018-09-01 |