| NPI | 1326234691 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VITALIY DOMASCHEVICH Owner 720-252-4590 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| Enumeration Date | 2007-09-20 |
| Last Update Date | 2022-07-21 |