NPI | 1033399258 |
---|---|
Entity Type | Organization |
Authorized Contact | JEREMY MICHAEL MOSTEK RN 303-861-3614 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 165844) |
Enumeration Date | 2007-11-05 |
Last Update Date | 2007-11-05 |