NPI | 1205003084 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL LEON MALMGREN Director 303-450-9970 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO 40901) |
Additional Taxonomies | 111N00000X Chiropractor (Licence: CO 3160) |
363AM0700X Physician Assistant, Medical (Licence: CO 610) | |
Enumeration Date | 2008-05-12 |
Last Update Date | 2008-05-12 |