| NPI | 1235728189 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK PATRON Owner 303-301-4460 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2021-01-15 |