| NPI | 1265890917 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWIN THEODORE ANSELMI Physician 720-344-2680 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 39788) |
| Enumeration Date | 2016-02-09 |
| Last Update Date | 2016-02-09 |