| NPI | 1093483893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL FOSTER Director 303-818-8137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| 261QI0500X Clinic/Center, Infusion Therapy | |
| Enumeration Date | 2021-09-06 |
| Last Update Date | 2023-11-14 |