| NPI | 1336669076 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSHUA WILLIAM LONG Authorized Official 303-269-4370 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism |
| 208600000X Surgery (Licence: CO DR.0051485) | |
| Enumeration Date | 2017-06-23 |
| Last Update Date | 2021-03-12 |