| NPI | 1699384339 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA JO SKINNER Administrator 720-667-7283 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology Pain Medicine |
| Additional Taxonomies | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2020-07-29 |
| Last Update Date | 2025-07-07 |