| NPI | 1073344073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER JACKSON Founder 303-819-7464 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical |
| Additional Taxonomies | 363AS0400X Physician Assistant, Surgical |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2024-08-12 |