| NPI | 1275072472 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON A HICKS President 303-552-0657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO DR0046896) |
| Enumeration Date | 2017-02-21 |
| Last Update Date | 2017-02-21 |