| NPI | 1912519554 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ADAIR PRALL Owner 303-601-9290 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208100000X Physical Medicine & Rehabilitation |
| Additional Taxonomies | 207T00000X Neurological Surgery |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-08-17 |