| NPI | 1972069995 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE EDWARD GIRARDI Owner 970-495-0506 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2019-02-14 |
| Last Update Date | 2019-03-04 |