| NPI | 1477110823 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL BRUCE COOPERMAN Owner 303-991-4651 |
| Organization Subpart ? | No |
| Primary Taxonomy | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Additional Taxonomies | 204C00000X Neuromusculoskeletal Medicine, Sports Medicine |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-09-20 |