NPI | 1073146833 |
---|---|
Entity Type | Organization |
Authorized Contact | CASANDRA RICHARDS Credentialing Coordinator 303-440-3076 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2020-02-19 |
Last Update Date | 2023-10-20 |