| NPI | 1750899522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEORA J. BREWER Credentialing Manager 303-761-5646 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine, Pain Medicine |
| Additional Taxonomies | 207L00000X Anesthesiology |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 2084P2900X Psychiatry & Neurology, Pain Medicine | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| 367500000X Nurse Anesthetist, Certified Registered | |
| 367H00000X Anesthesiologist Assistant | |
| Enumeration Date | 2018-01-16 |
| Last Update Date | 2018-01-16 |