| NPI | 1376146506 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FROYA MADISON JESSE Senior Credentialing Coordinator 303-930-7895 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2020-11-19 |
| Last Update Date | 2020-11-19 |