| NPI | 1003538042 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ABRAHAM BENJAMIN WHITE President 720-209-0560 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant |
| Additional Taxonomies | 1223S0112X Dentist, Oral and Maxillofacial Surgery |
| 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery | |
| 208200000X Plastic Surgery | |
| Enumeration Date | 2022-09-15 |
| Last Update Date | 2022-09-15 |