| NPI | 1396022810 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR S CHAVEZ-ABRAHAM Owner 303-587-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: CO 1276) |
| Enumeration Date | 2011-11-11 |
| Last Update Date | 2011-11-11 |