NPI | 1023339637 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD THOMAS HANSEN President 303-829-1040 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 6322) |
Enumeration Date | 2010-06-17 |
Last Update Date | 2011-03-01 |