| NPI | 1699551127 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WARNER HETTICK Managing Employee 303-589-1589 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
| 261QI0500X Clinic/Center Infusion Therapy | |
| Enumeration Date | 2023-08-31 |
| Last Update Date | 2024-04-15 |