| NPI | 1376560375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AILEEN M MARQUEZ Administrator 303-795-5587 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207YX0007X Otolaryngology Plastic Surgery within the Head & Neck |
| Enumeration Date | 2006-07-16 |
| Last Update Date | 2009-02-19 |