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 |