| NPI | 1215979687 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRED LEE GROVER President 303-320-1530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 33720) |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2022-07-21 |