| NPI | 1912310756 |
|---|---|
| Doing Business As | CRANIOFACIAL PAIN CENTER OF COLORADO |
| Entity Type | Organization |
| Authorized Contact | CHASE ALAN BENNETT Director/Doctor 918-638-3102 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2014-06-10 |
| Last Update Date | 2014-06-10 |