| NPI | 1376913756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TERRI GILLESPIE Owner 303-841-7045 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: CO 6538) |
| Enumeration Date | 2015-09-29 |
| Last Update Date | 2015-09-29 |