| NPI | 1710904495 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EIPE KURUVILA Owner 303-456-4466 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation Pain Medicine |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2013-11-13 |