| NPI | 1033447164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JADE E. DILLON Owner 720-227-0562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 34891) |
| Enumeration Date | 2009-12-01 |
| Last Update Date | 2010-12-03 |