| NPI | 1407468010 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGLEA J SKINNER Administrator Oma 303-673-7175 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center Multi-Specialty |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2020-08-17 |
| Last Update Date | 2020-10-06 |