Whalio Doctors

NPI 1114432903

Boulder Headache and Pain PLLC

Organisation Neuromusculoskeletal Medicine & OMM Physician Boulder, CO

Practice location

Address
5377 Manhattan Cir STE 200, Boulder, CO 80303-4345
Phone
(303) 225-6625
Fax
(303) 225-6626

Authorised official

Name
Alex G Reish
Title
Owner
Phone
(303) 225-6625

Registered specialties (2)

Neuromusculoskeletal Medicine & OMM Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 204D00000X Licence 46517 (CO)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 46517 (CO)

Registry record

NPI
1114432903
Entity type
Organization
NPI issued
4 Dec 2017
Record last updated
19 Sep 2019

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.