Organization
ROTHALL, INC.
Active
Other names
Thornton Medical
Organization subpart
No
Provider details
NPI number
Authorized official
BRIAN MAYER (OPERATIONS MANAGER)
(719) 252-8997
Entity
Organization
Contact information
Practice address
1951 LAKE AVE, PUEBLO, CO 81004-3321
(719) 564-5333
Mailing address
1951 LAKE AVE, PUEBLO, CO 81004-3321
(719) 564-5333
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary
—
—
Other
Enumeration date
09/17/2021
Last updated
09/17/2021
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