Organization
INTEGRATIVE HEALTH AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TAMARA JOHNSON M.D. (MEDICAL DIRECTOR)
(303) 463-0722
Entity
Organization
Contact information
Practice address
4704 HARLAN ST, SUITE 510, DENVER, CO 80212-7415
(303) 424-7171
(303) 421-0705
Mailing address
4704 HARLAN ST, SUITE 510, DENVER, CO 80212-7415
(303) 463-0722
(303) 421-0705
Taxonomy
Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
—
—
208D00000X
General Practice Physician
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
02/21/2017
Last updated
10/09/2018
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