| NPI | 1336808492 |
|---|---|
| Doing Business As | TABLE MOUNTAIN FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | RHONDA HECKARD Credentialing Coordinator 303-763-4900 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2021-12-15 |
| Last Update Date | 2022-08-03 |