| NPI | 1225417199 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTONY NGUYEN VANBANG Manager 720-666-5116 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice (Licence: CO DR00054747) |
| Enumeration Date | 2015-05-26 |
| Last Update Date | 2017-09-13 |