| NPI | 1891200218 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID WONG Owner 303-697-7463 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery Orthopaedic Surgery of the Spine |
| Enumeration Date | 2017-12-07 |
| Last Update Date | 2017-12-07 |