| NPI | 1386992782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID KLASS CEO 720-666-0000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: CO 12345) |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2012-09-18 |