| NPI | 1801190384 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT PAUL LOPARCO President/General Manager 719-535-9900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111NS0005X Chiropractor, Sports Physician (Licence: CO CHR-4715) |
| Additional Taxonomies | 111NN0400X Chiropractor, Neurology (Licence: CO CHR-4715) |
| 111NR0200X Chiropractor, Radiology (Licence: CO CHR-4715) | |
| 111NR0400X Chiropractor, Rehabilitation (Licence: CO CHR-4715) | |
| Enumeration Date | 2010-12-27 |
| Last Update Date | 2010-12-27 |