NPI 1205289501

Medical Revolution, LLC

Organisation Physical Medicine & Rehabilitation Physician Lakewood, CO

Practice location

Address: 215 Union Blvd Suite 300, Lakewood, CO 80228-1839
Phone: (303) 520-2599

Authorised official

Name: Stuart Wilson
Title: Director
Phone: (303) 520-2599

Registered specialties

Physical Medicine & Rehabilitation Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208100000X

Other Physical Medicine & Rehabilitation providers in Colorado →

Registry record

NPI: 1205289501
Entity type: Organization
NPI issued: 21 Jul 2016
Record last updated: 21 Jul 2016

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.