NPI | 1013513472 |
---|---|
Entity Type | Organization |
Authorized Contact | ALLISON RENEE ROTT Physician Assistant 303-929-8993 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
Enumeration Date | 2020-12-09 |
Last Update Date | 2020-12-23 |