| NPI | 1922807528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JESSICA DALTON Director, Revenue & Operations 720-782-1046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0000X Pain Medicine Pain Medicine |
| Additional Taxonomies | 103TH0100X Psychologist Health Service |
| 103TH0004X Psychologist Health | |
| 207PE0004X Emergency Medicine Emergency Medical Services | |
| 207Q00000X Family Medicine | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 2084P2900X Psychiatry & Neurology Pain Medicine | |
| Enumeration Date | 2025-03-07 |
| Last Update Date | 2025-03-07 |