| NPI | 1184060824 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | KEVIN DOAN President 720-939-5863  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO CO2868)  | 
| Enumeration Date | 2013-05-21 | 
| Last Update Date | 2013-05-21 |