| NPI | 1225504608 |
|---|---|
| Doing Business As | PHILIP R COUCH SOLE MBR |
| Entity Type | Organization |
| Authorized Contact | PHILIP R COUCH Owner 303-625-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
| Enumeration Date | 2018-10-23 |
| Last Update Date | 2018-10-23 |