| NPI | 1336507839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORA ELANE SHIRAR Owner/President 303-949-1250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QG0300X Family Medicine Geriatric Medicine |
| Enumeration Date | 2016-01-29 |
| Last Update Date | 2016-02-05 |