| NPI | 1619347838 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE FINKLE Rcm Sr. Director 719-243-9490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: MD C0005875) |
| Enumeration Date | 2015-09-30 |
| Last Update Date | 2025-09-17 |