| NPI | 1164763033 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN HATCH Owner 303-570-9863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990132-NP) |
| Enumeration Date | 2013-03-02 |
| Last Update Date | 2013-03-02 |