| NPI | 1881019693 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J. GREEN Clinic Owner 719-594-2095 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332S00000X Hearing Aid Equipment (Licence: CO HA184) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO HA184) |
| 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: CO HA184) | |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |