NPI | 1255632907 |
---|---|
Entity Type | Organization |
Authorized Contact | ERIC JAMES THORSON Physician And Office Manager 303-319-5631 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2010-11-11 |
Last Update Date | 2021-08-26 |