CREEKSIDE PHYSICAL MEDICINE PLLC

BOULDER, CO
NPI1578601969
Entity TypeOrganization
Authorized ContactDAVID E TANNER
Principal Clinician
303-494-2705
Organization Subpart ?No
Primary Taxonomy204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: CO  38635)
Enumeration Date2007-02-01
Last Update Date2008-12-12
Business Address
CREEKSIDE PHYSICAL MEDICINE PLLC
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303-4284
Phone number: 303-494-2705
Mailing Address
CREEKSIDE PHYSICAL MEDICINE PLLC
5387 MANHATTAN CIR STE 201
BOULDER, CO 80303-4284
Phone number: 303-494-2705