NPI | 1316629389 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM J BOWEN CEO 303-398-6203 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation |
363LF0000X Nurse Practitioner, Family | |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-08-01 |