| NPI | 1902190531 |
|---|---|
| Doing Business As | COLORADO PEDIATRIC NEUROLOGY AND HEADACHE |
| Entity Type | Organization |
| Authorized Contact | TONIA MARIE SABO Medical Director 303-439-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: CO 34882) |
| Additional Taxonomies | 261QC1500X Clinic/Center, Community Health (Licence: CO 34882) |
| 133NN1002X Nutritionist, Nutrition, Education (Licence: CO 34882) | |
| 2251N0400X Physical Therapist, Neurology (Licence: CO 34882) | |
| 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 34882) | |
| 261QP3300X Clinic/Center, Pain (Licence: CO 34882) | |
| 261QH0100X Clinic/Center, Health Services (Licence: CO 34882) | |
| Enumeration Date | 2011-05-31 |
| Last Update Date | 2011-11-03 |