NPI | 1376897041 |
---|---|
Doing Business As | RIDGELINE FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | DAVID L WATSON C.M.O 303-804-8119 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2012-11-02 |
Last Update Date | 2012-11-20 |