NPI | 1609062066 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT S GRAVES Owner 303-393-7262 |
Organization Subpart ? | No |
Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO 1393) |
Additional Taxonomies | 111NX0800X Chiropractor, Orthopedic (Licence: CO 1393) |
Enumeration Date | 2007-09-19 |
Last Update Date | 2008-05-20 |