| NPI | 1346441243 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIA SISCO Clinical Director 303-782-0599 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty (Licence: CO 134400) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2020-08-22 |