| NPI | 1215981634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENISE DUYSEN Administrator 303-205-0113 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-05-20 |
| Last Update Date | 2012-03-05 |