| NPI | 1023234861 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PUDUPAKKAM K VEDANTHAN President 303-238-0471 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207K00000X Allergy & Immunology |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2020-08-22 |