| NPI | 1326451105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTY HERDER Credentialing Manager 303-386-2727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 30427) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2017-04-10 |