| NPI | 1689189714 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | REID M CHRISTOPHERSON Chief Financial Officer 719-351-1604 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2017-12-12 |