| NPI | 1659187151 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAVI C SHAH Physician President Owner 303-840-5051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2024-12-09 |
| Last Update Date | 2025-01-09 |