| NPI | 1316410103 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NATALIA KELLEY Manager 303-801-8136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZC0007X Specialist/Technologist, Other, Surgical Assistant |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |