| NPI | 1003229170 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HINOJOSA SIMPSON Credentialing Manager 720-381-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology (Licence: MD R075988) |
| Enumeration Date | 2014-06-06 |
| Last Update Date | 2024-04-29 |