| NPI | 1043671803 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA S KETTERING Executive Director 303-781-1909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 33071) |
| Enumeration Date | 2016-03-08 |
| Last Update Date | 2021-06-07 |