| NPI | 1366838369 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KUBASKA Physician/Owner 303-320-7340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 0004148) |
| Enumeration Date | 2015-04-07 |
| Last Update Date | 2015-04-07 |