| NPI | 1558789495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LLOYD WESLEY MOBLEY Owner 720-985-5899 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: CO 20141104585) |
| Enumeration Date | 2014-03-28 |
| Last Update Date | 2014-10-03 |