| NPI | 1720736937 |
|---|---|
| Doing Business As | WESTERN COLORADO SPINE |
| Entity Type | Organization |
| Authorized Contact | MEGAN HASKINS Credentialing Officer 970-263-2619 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Enumeration Date | 2022-03-16 |
| Last Update Date | 2022-03-16 |