NPI | 1124617345 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH SMITH VP/General Counsel 303-436-2720 |
Organization Subpart ? | No |
Primary Taxonomy | 2084N0400X Psychiatry & Neurology Neurology |
Additional Taxonomies | 363AM0700X Physician Assistant Medical |
363L00000X Nurse Practitioner | |
Enumeration Date | 2021-01-12 |
Last Update Date | 2021-01-12 |