| NPI | 1962860528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID FEEBACK President 970-221-9451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine |
| Enumeration Date | 2016-02-10 |
| Last Update Date | 2022-07-21 |