| NPI | 1720600018 |
|---|---|
| Other Name | UCHEALTH PAIN MANAGEMENT CLINIC - FORT COLLINS |
| Entity Type | Organization |
| Authorized Contact | JANA CONROY Credentialing Manager 970-624-4443 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Enumeration Date | 2020-05-11 |
| Last Update Date | 2020-05-11 |