| NPI | 1295894178 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAKO SHIMODA Owner 303-441-0587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: CO 42614) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: CO 56795) |
| 207V00000X Obstetrics & Gynecology (Licence: CO 36257) | |
| 207V00000X Obstetrics & Gynecology (Licence: CO 34690) | |
| 207V00000X Obstetrics & Gynecology (Licence: CO 43546) | |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2008-02-11 |