Organization
ROCKY MOUNTAIN STATES RECOVERY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RONALD BLAKE WILSON (PRESIDENT)
(303) 718-3039
Entity
Organization
Contact information
Practice address
7311 VILLAGE SQUARE DR, 1712, CASTLE PINES, CO 80108-9373
(303) 718-3039
Mailing address
7311 VILLAGE SQUARE DR, 1712, CASTLE PINES, CO 80108-9373
(303) 718-3039
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
20151586798
CO
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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