| NPI | 1295953412 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAMASAMUDRAM RAVILOCHAN Neurologist 303-730-8277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2007-12-14 |