| NPI | 1073784096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELENA ANISIMOVA Medical Doctor 303-802-5444 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 41995) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2018-08-01 |