| NPI | 1124679287 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGELA J SKINNER Oma/ Administrator 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2019-09-20 |