| NPI | 1194261362 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDIA M DORE Billing Manager 303-660-6561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
| 207R00000X Internal Medicine | |
| Enumeration Date | 2017-01-12 |
| Last Update Date | 2022-01-14 |