| NPI | 1790564300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL RUPPEL Owner 303-353-8294 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner |
| Additional Taxonomies | 111N00000X Chiropractor |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |