Organization
OSTEOPATHIC PAIN AND REHABILITATION MEDICINE, A PROFESSIONAL LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRIAN KEVIN MCINTYRE D.O. (PRESIDENT/CEO)
(720) 695-7288
Entity
Organization
Contact information
Practice address
3000 CENTER GREEN DR, #130, BOULDER, CO 80301-2364
(720) 695-7288
(888) 388-8602
Mailing address
3000 CENTER GREEN DR, #130, BOULDER, CO 80301-2364
(720) 695-7288
(888) 388-8602
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
DR.0052372
CO
Other
Enumeration date
12/10/2014
Last updated
12/10/2014
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