| NPI | 1316056260 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BILL J PARKER Owner/Mgr 303-819-2025 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant Surgical (Licence: CO 519) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-11-06 |