| NPI | 1033112628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELODIE R GARROBO Administrator 303-963-1507 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 160461) |
| Enumeration Date | 2005-05-27 |
| Last Update Date | 2016-08-12 |