| NPI | 1790179174 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NOEL SO Physician 720-417-2677 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation (Licence: CO 52828) |
| Enumeration Date | 2015-03-24 |
| Last Update Date | 2015-03-24 |