| NPI | 1376671628 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES MIRANDA President 303-799-8890 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: CO 33478) |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2010-02-08 |