NPI | 1164048161 |
---|---|
Other Name | CARL A MORTIZ JR MBR |
Doing Business As | CROSSROADS MEDICAL CENTER LLC |
Entity Type | Organization |
Authorized Contact | LAUREN JASILLI Practice Owner 303-444-6400 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2020-06-25 |
Last Update Date | 2024-09-27 |