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 | 2024-11-11 |