| NPI | 1134492739 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GORDON K DEAGMAN Owner/Physician 303-755-1164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 18107) |
| Enumeration Date | 2012-02-14 |
| Last Update Date | 2012-02-14 |