NPI | 1073126710 |
---|---|
Entity Type | Organization |
Authorized Contact | KAITLIN BOYLE Director 303-601-5392 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
Additional Taxonomies | 207R00000X Internal Medicine |
261QP2300X Clinic/Center, Primary Care | |
Enumeration Date | 2020-08-24 |
Last Update Date | 2024-07-10 |