| NPI | 1093986986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLA FETZER Office Manager 303-425-0449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0905X Otolaryngology, Otolaryngology/Facial Plastic Surgery (Licence: CO 19871416289) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2009-06-23 |