NPI | 1356969703 |
---|---|
Entity Type | Organization |
Authorized Contact | DESIREE ROBERTS Business Office Supervisor 720-880-7839 |
Organization Subpart ? | No |
Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
Enumeration Date | 2020-07-13 |
Last Update Date | 2025-08-20 |