| NPI | 1356426340 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES CLARK Surgeon 303-393-2863 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: CO 23894) |
| Additional Taxonomies | 208800000X Urology (Licence: CO 23894) |
| Enumeration Date | 2006-10-26 |
| Last Update Date | 2020-08-22 |