| NPI | 1336197631 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | INGRID ANDERSON Credentialing Coordinator 303-607-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| 261QM1200X Clinic/Center, Magnetic Resonance Imaging (MRI) | |
| Enumeration Date | 2006-05-05 |
| Last Update Date | 2023-10-03 |