Organization Name: | INJURY CARE OF COLORADO LLC |
NPI Number: | 1942473194 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANTHONY EUSER (OWNER) |
Mailing Address: | 2801 Purcell St Brighton |
State: | CO US |
Postal Code: | 806013551 |
Phone Number: | 3036593199 |
Fax Number: | 3035588011 |
NPI Enumeration Date: | 04/09/2008 |
NPI Last Update Date: | 02/02/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 208D00000X |
License Number: | ========= |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | General Practice |
Taxonomy Specialization: | |
Taxonomy Definition: |