| NPI | 1053162297 |
|---|---|
| Former Legal Business Name | COLORADO PREVENTIVE MEDICINE |
| Entity Type | Organization |
| Authorized Contact | ASHLEY MORIARTY Director 303-320-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-03-27 |