| NPI | 1023406790 |
|---|---|
| Doing Business As | NUTRITIONAL MD |
| Entity Type | Organization |
| Authorized Contact | ANNE HANSEN Physician 720-432-4524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 45273) |
| Enumeration Date | 2015-01-05 |
| Last Update Date | 2015-02-27 |