NPI | 1255906541 |
---|---|
Entity Type | Organization |
Authorized Contact | CHRISTINE WERNER GARCIA Co Owner 720-662-7862 |
Organization Subpart ? | No |
Primary Taxonomy | 208000000X Pediatrics |
Additional Taxonomies | 363A00000X Physician Assistant |
Enumeration Date | 2021-05-20 |
Last Update Date | 2021-05-20 |