| NPI | 1033724570 |
|---|---|
| Doing Business As | CUBS CLINIC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER N MACK Owner 720-955-4465 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2020-09-11 |