| NPI | 1013070051 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAURICE A ARCHULETA Owner President 303-940-9118 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center Primary Care (Licence: CO 27027) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2011-03-18 |