| NPI | 1205283629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARCY KOEHN President 037-209-3693 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0051221) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: CO APN.0992915-NP) |
| Enumeration Date | 2016-05-16 |
| Last Update Date | 2020-06-03 |