| NPI | 1194234740 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA DONAHUE Director 303-493-7300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2024-08-29 |