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Organization
DENVER MEDICAL & INJURY REHABILITATION CENTER INC
Active
Organization
DENVER MEDICAL & INJURY REHABILITATION CENTER INC
Active
Other names
Denver Medical
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLYDE JOHNSON DC (PRESIDENT)
(720) 515-8002
Entity
Organization
Contact information
Practice address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Mailing address
5950 S WILLOW DR STE 200, GREENWOOD VILLAGE, CO 80111-5144
(720) 515-8002
(303) 741-2676
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
204C00000X
Sports Medicine (Neuromusculoskeletal Medicine) Physician
—
—
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207T00000X
Neurological Surgery Physician
—
—
2081P2900X
Pain Medicine (Physical Medicine & Rehabilitation) Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
208VP0000X
Pain Medicine Physician
Primary
—
—
261QA1903X
Ambulatory Surgical Clinic/Center
—
—
Other
Enumeration date
12/05/2018
Last updated
12/05/2018
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