| NPI | 1235683038 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK BARAVIK Owner 303-536-5020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CO 0990941) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: APN0990941) |
| Enumeration Date | 2016-08-09 |
| Last Update Date | 2023-12-18 |