| NPI | 1720362866 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ALAN DRENNAN President 801-652-3193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine (Licence: CO 49450) |
| Additional Taxonomies | 103T00000X Psychologist |
| 207LP2900X Anesthesiology, Pain Medicine | |
| 225100000X Physical Therapist | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2011-10-07 |
| Last Update Date | 2018-07-23 |