| NPI | 1285019430 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SOPHIA MEHARENA Medical Director 303-450-3690 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: CO 4312) |
| Enumeration Date | 2015-07-29 |
| Last Update Date | 2015-07-29 |