| NPI | 1265603104 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDALL L SNOOK Owner 303-708-0246 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO 34633) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: CO 27722) |
| 207Q00000X Family Medicine (Licence: CO 37225) | |
| Enumeration Date | 2008-03-19 |
| Last Update Date | 2009-05-19 |