| NPI | 1891018420 |
|---|---|
| Doing Business As | BODYLOGICMD OF DENVER |
| Entity Type | Organization |
| Authorized Contact | JOSEPH AGNELLO Director 877-445-9052 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO 36493) |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |