NPI | 1336821396 |
---|---|
Entity Type | Organization |
Authorized Contact | TIM J BOWEN CEO 303-398-6203 |
Organization Subpart ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family |
Additional Taxonomies | 207QH0002X Family Medicine, Hospice and Palliative Medicine |
208100000X Physical Medicine & Rehabilitation | |
Enumeration Date | 2023-08-01 |
Last Update Date | 2023-08-01 |