| NPI | 1134151913 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD J STULL Executive Director 720-524-1550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |