NPI | 1396190831 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL ROBERT IANNOTTI Physician/ Owner 720-773-1352 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: CO DR.0039567) |
Enumeration Date | 2016-05-03 |
Last Update Date | 2016-07-26 |