| NPI | 1336972405 |
|---|---|
| Doing Business As | NEUROSURGERY ONE PORTER |
| Entity Type | Organization |
| Authorized Contact | JASON TACHA COO 303-304-7752 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2024-08-27 |