NPI 1164820916
Osteopathic Pain and Rehabilitation Medicine, a Professional LLC.
Practice location
- Address
- 3000 Center Green Dr #130, Boulder, CO 80301-2364
- Phone
- (720) 695-7288
- Fax
- (888) 388-8602
Authorised official
- Name
- Brian Kevin McIntyre
- Title
- President/Ceo
- Phone
- (720) 695-7288
Registered specialties
Physical Medicine & Rehabilitation Physician
Primary
Registry record
- NPI
- 1164820916
- Entity type
- Organization
- NPI issued
- 10 Dec 2014
- Record last updated
- 10 Dec 2014
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.