| NPI | 1306236526 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON TIEDE Director Of Financial Services 720-600-2304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: CO 20156000150) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier |
| Enumeration Date | 2015-01-26 |
| Last Update Date | 2015-02-09 |