NPI | 1356863120 |
---|---|
Entity Type | Organization |
Authorized Contact | DANNY L. KELLAMS Owner 720-504-8007 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: CO dr34457) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1639790) |
171100000X Acupuncturist (Licence: CO acu.0001814) | |
Enumeration Date | 2017-07-12 |
Last Update Date | 2024-03-05 |