NPI | 1245416742 |
---|---|
Doing Business As | GERIATRIC MEDICINE PC |
Entity Type | Organization |
Authorized Contact | MISSI D WEIDE Billing Manager 303-766-8366 |
Organization Subpart ? | No |
Primary Taxonomy | 207QG0300X Family Medicine, Geriatric Medicine (Licence: CO 38188) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2008-02-21 |