| NPI | 1114502937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUZAN L PERREAULT Principal 720-449-6166 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207U00000X Nuclear Medicine |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| 2083P0901X Preventive Medicine Public Health & General Preventive Medicine | |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2021-03-12 |
| Last Update Date | 2021-04-23 |