| NPI | 1063614535 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALISON RENEE THALER Office Manager 303-996-9601 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO 23399) |
| Enumeration Date | 2007-06-05 |
| Last Update Date | 2021-02-22 |