| NPI | 1154328508 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JERRY KIRK POPHAM Physician 303-468-8844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 0471) |
| Enumeration Date | 2005-06-30 |
| Last Update Date | 2020-08-22 |