| NPI | 1326054172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EMILY HINOJOSA SIMPSON Credentialing Manager 720-630-0424 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: TN 0000000025) |
| Enumeration Date | 2006-08-01 |
| Last Update Date | 2024-05-14 |