| NPI | 1407208895 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LINDA HILLER Accountant 720-323-8318 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AS0400X Physician Assistant, Surgical (Licence: CO 4151) |
| Enumeration Date | 2016-07-08 |
| Last Update Date | 2016-07-08 |