NPI | 1003008897 |
---|---|
Entity Type | Organization |
Authorized Contact | RANDALL L SNOOK Physician/Owner 303-708-0246 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 34633) |
Enumeration Date | 2007-08-15 |
Last Update Date | 2008-03-14 |