| NPI | 1235460908 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HELENE G DESMARAIS Physician Assistant 303-257-4224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 1582) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2010-01-20 |