| NPI | 1144785247 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAY GOODHUE President/Surgical Assistant 720-937-8412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other Surgical Assistant |
| Enumeration Date | 2019-02-04 |
| Last Update Date | 2019-02-04 |