NPI | 1134880164 |
---|---|
Doing Business As | CHILDREN'S COLORADO REGIONAL OUTREACH CLINIC - LANDER - LMC |
Entity Type | Organization |
Authorized Contact | LINDA MICHAEL VP, Chief Compliance Officer 720-777-6537 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
Enumeration Date | 2022-01-03 |
Last Update Date | 2022-01-03 |