NPI | 1295381390 |
---|---|
Doing Business As | HOWARD HEAD SPORTS MEDICINE AT AVON |
Entity Type | Organization |
Authorized Contact | JOHN D HIGGINS SVP & CFO 970-479-5131 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261Q00000X Clinic/Center |
Additional Taxonomies | 261QP2000X Clinic/Center Physical Therapy |
Enumeration Date | 2019-08-14 |
Last Update Date | 2023-10-05 |