| NPI | 1306131073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN SMITH Primary Physician 303-750-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332900000X Non-Pharmacy Dispensing Site (Licence: CO 37926) |
| Enumeration Date | 2011-06-10 |
| Last Update Date | 2011-06-10 |