| NPI | 1023500592 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAMELA LAMBERT Owner 720-273-2091 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CA 21036) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2018-05-31 |