| NPI | 1588284012 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL RAUSER Owner 719-596-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0901X Otolaryngology, Otology & Neurotology |
| Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic |
| Enumeration Date | 2020-04-24 |
| Last Update Date | 2020-09-24 |