| NPI | 1235294752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANE GIUSTI President 303-981-2981 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 778) |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2020-08-22 |