| NPI | 1184764771 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLIE COPPIN Executive Director 720-837-7593 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2022-07-21 |