| NPI | 1275307449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIFFANY JEANETTE ELL Owner/Member 303-990-1432 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| Enumeration Date | 2023-11-08 |
| Last Update Date | 2025-11-24 |