NPI | 1255430088 |
---|---|
Entity Type | Organization |
Authorized Contact | DANA LUCILLE ROPER-JOHNSON Physician/ Owner 720-941-8266 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: CO 37755) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2009-02-19 |