NPI | 1093756561 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL L MALMGREN Owner, President 303-450-9970 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 40901) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3160) |
Enumeration Date | 2006-06-08 |
Last Update Date | 2007-11-30 |