| NPI | 1467408187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL W BAER Owner 719-219-2350 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine (Licence: CO 40524) |
| Enumeration Date | 2006-05-25 |
| Last Update Date | 2008-01-16 |