Southern Colorado Physical Medicine

NPI #1316486624 in Golden, Colorado

Provider Information

NPI Number: 1316486624
Entity Type: Organization
Organization Name: Southern Colorado Physical Medicine
Primary Specialty: Specialist
Enumeration Date: Feb 20, 2017
Last Updated: Feb 20, 2017

Practice Location

Address: 400 INDIANA ST
Address 2: SUITE 320
City: Golden
State: Colorado
ZIP Code: 80401-5027
Phone: (303) 842-0367

Authorized Official

Name: GARRET ROCK
Title: PARTNER
Phone: (303) 842-0367

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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