| NPI | 1275786154 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMY E FANNING Cfa/Owner 303-484-1580 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant (Licence: CO 108079) |
| Enumeration Date | 2008-10-23 |
| Last Update Date | 2008-10-23 |