| NPI | 1568571255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS H MAHONY President Owner 719-635-7378 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XX0005X Orthopaedic Surgery, Sports Medicine (Licence: CO 17403) |
| Enumeration Date | 2006-08-29 |
| Last Update Date | 2020-08-22 |