| NPI | 1417332453 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHEILA RENEE WERTZ Physician Assistant 303-632-3694 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: CO 1455) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |