| NPI | 1881341816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANCISCA RAYOS Authorized Official 303-741-0990 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207K00000X Allergy & Immunology |
| 208VP0000X | |
| Enumeration Date | 2022-03-09 |
| Last Update Date | 2024-01-02 |