| NPI | 1417178112 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KATRINA M HAMMONS Patient Account Manager 303-794-8165 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: CO CO22040) |
| Additional Taxonomies | 174400000X Specialist (Licence: CO CO23164) |
| 174400000X Specialist (Licence: CO CO42370) | |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2020-08-22 |