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 |