| NPI | 1619600285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATHLEEN HORNBAKER Owner 970-794-6444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2022-07-01 |
| Last Update Date | 2023-08-07 |