| NPI | 1174649230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA L BULMAHN Manager, Physician 303-666-4949 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 41946) |
| Enumeration Date | 2007-03-21 |
| Last Update Date | 2020-08-22 |