| NPI | 1053634196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP M HENBEST President 303-252-0488 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 25418) |
| Enumeration Date | 2010-03-03 |
| Last Update Date | 2011-02-18 |