| NPI | 1235353087 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILIP L LEWIS Owner 303-758-0005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: CO 12100) |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-06-25 |