| NPI | 1578881793 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BENNETT I MACHANIC Doctor 720-583-1754 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology (Licence: CO 20000) |
| Enumeration Date | 2010-05-12 |
| Last Update Date | 2018-11-30 |