| NPI | 1235387317 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT H WILSON Physician Medical Director 303-921-1349 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 43521) |
| Enumeration Date | 2008-09-03 |
| Last Update Date | 2008-09-03 |