| NPI | 1366565848 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO ANN DOUGLAS Partner 303-988-1825 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083S0010X Preventive Medicine, Sports Medicine (Licence: CO 41103) |
| Enumeration Date | 2007-04-09 |
| Last Update Date | 2007-09-12 |