| NPI | 1801169396 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES H RIPP Owner 719-577-9124 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: CO DR-27928) |
| Enumeration Date | 2012-02-15 |
| Last Update Date | 2012-02-15 |