| NPI | 1881864148 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD GIRARDI Owner 970-495-0506 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine |
| Enumeration Date | 2008-03-03 |
| Last Update Date | 2019-03-04 |