| NPI | 1306385752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD PRUSMACK Managing Partner 303-870-2904 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: CO 0043126) |
| Enumeration Date | 2017-02-17 |
| Last Update Date | 2017-02-17 |